MOBILE DIAGNOSTIC SOLUTIONS, LLC


Address: 1702 Prairie Lake Blvd, Ocoee, FL 34761-1412
Phone: 4076942813

MOBILE DIAGNOSTIC SOLUTIONS, LLC (NPI# 1407038300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407038300
Entity Type Organization
Organization Name MOBILE DIAGNOSTIC SOLUTIONS, LLC
Practice Address 1702 Prairie Lake Blvd
Ocoee
FL 34761-1412
Practice Telephone 4076942813
Practice Fax Number 4075229753
Mailing Telephone 4076942813
Mailing Fax Number 4075229753
Enumeration Date 2007-12-03
Last Update Date 2007-12-03
Authorized Official Name MR. MORGAN KANE (PRESIDENT)
Authorized Official Telephone 4076942813
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
3100-1038230 FL Ambulatory Health Care Facilities

Office Location

Street Address 1702 PRAIRIE LAKE BLVD
City OCOEE
State FL
Zip Code 34761-1412

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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City OCOEE
Zip Code 34761

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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