FORT LAUDERDALE MOBILE ULTRASOUND INC (NPI# 1467487066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467487066 |
| Entity Type | Organization |
| Organization Name | FORT LAUDERDALE MOBILE ULTRASOUND INC |
| Other Organization Name | DPI OF PLANTATION |
| Practice Address |
7301 Nw 4th St Suite 107 Plantation FL 33317-2234 |
| Mailing Address |
Po Box 5286 Ft Lauderdale FL 33310-5286 |
| Practice Telephone | 9545664551 |
| Practice Fax Number | 9545664565 |
| Mailing Telephone | 9545664551 |
| Mailing Fax Number | 9545664565 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | MR. HOWARD S DEKKERS (CEO) |
| Authorized Official Telephone | 9545664551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 0889591 | 01 |
| FL | BLUE CROSS BLUE SHIELD | V2156 | 01 |
| Other Name | Type Code |
|---|---|
| DPI of Plantation | Doing Business As Name - Organization |
| Street Address |
7301 NW 4TH ST SUITE 107 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942575055 | Elizabeth Otero | Massage Therapist | 7301 Nw 4th St, Suite-101, Plantation, FL 33317-2234 | 2012-03-22 |
| 1184936676 | Jackie R Leif | Massage Therapist | 7301 Nw 4th St, Suite 101, Plantation, FL 33317-2234 | 2010-07-13 |
| 1487965133 | Dr Pamela Leif Pa | Chiropractor | 7301 Nw 4th St, Suite 101, Plantation, FL 33317-2234 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282398 | Diagnostic Medical Imaging of Plantation LLC | Clinic/Center | 7050 Nw 4th St Ste 204a204b, Plantation, FL 33317-2247 | 2018-04-19 |
| 1477515567 | Open Magnetic Imaging of Plantation Ltd | Clinic/Center | 801 S University Drive, Suite C136a, Plantation, FL 33324 | 2006-04-04 |
| 1073637526 | Signet Diagnostic Imaging Services LLC | Clinic/Center | 8300 W Sunrise Blvd, Plantation, FL 33322-5406 | 2007-03-19 |
| 1609838796 | Omi Ct of Plantation Inc | Clinic/Center | 801 S University Drive, Suite K103a, Plantation, FL 33324 | 2006-04-04 |
| 1720040827 | Omi of Plantation Inc | Clinic/Center | 801 S University Drive, Suite K103a, Plantation, FL 33324 | 2006-04-04 |
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|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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| 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.