CT. MOBILE DIAGNOSTIC SERVICES (NPI# 1922126051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922126051 |
| Entity Type | Organization |
| Organization Name | CT. MOBILE DIAGNOSTIC SERVICES |
| Practice Address |
249 W Main St C-3 Branford CT 06405-4048 |
| Practice Telephone | 2034881718 |
| Practice Fax Number | 2034885016 |
| Mailing Telephone | 2034881718 |
| Mailing Fax Number | 2034885016 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK GAMBARDELLA (PRESIDENT) |
| Authorized Official Telephone | 2034881718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
249 W MAIN ST C-3 |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174598981 | Dva Renal Healthcare Inc | Clinic/Center | 249 W Main St, Branford, CT 06405-4048 | 2006-02-23 |
| 1205109832 | Physical Fitness, LLC | Clinical Exercise Physiologist | 249 W Main St, Physical Fitness, Branford, CT 06405-4048 | 2012-02-13 |
| 1184997967 | Michael Stephen Leonard Jr. | Clinical Exercise Physiologist | 249 W Main St, Physical Fitness, Branford, CT 06405-4048 | 2012-02-09 |
| 1073570206 | Ct Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119596 | Katarzyna Pavelko | Physical Therapist | Branford Hills, 189 Alps Rd, Branford, CT 06405 | 2020-03-13 |
| 1174027213 | C & M Health Services Branford LLC | Home Health | 625 East Main Street, Branford, CT 06405 | 2018-03-22 |
| 1689181554 | Erin H Mccarthy | Social Worker | 513 Leetes Island Rd, Branford, CT 06405 | 2018-01-02 |
| 1255860516 | Sylcom Angelscare LLC | In Home Supportive Care | 1204 Main Street #241, Branford, CT 06405 | 2017-06-08 |
| 1093266439 | Emmanuel Chery | Physical Therapy Assistant | 153 Austin Ryer Lane, Branford, CT 06405 | 2016-10-20 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1558753897 | Donald Ray Sirry | Social Worker | 9 Business Park Drive, Unit 1, Branford, CT 06405 | 2015-02-24 |
| 1952679110 | Maria Rivera Heath Lmft, LLC | Marriage & Family Therapist | 388 East Main Street, Suite 19, Branford, CT 06405 | 2011-12-02 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1447554068 | Elizabeth's Home Health Care Agency L.L.C. | Home Health | 127 Cedar Street, Bronford, CT 06405 | 2010-12-23 |
| Find all providers in zip 06405 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570206 | Ct Mobile Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 249 W Main St, C-3, Branford, CT 06405-4048 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740665843 | Hvra of Danbury, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd Ste 102, Danbury, CT 06810-4032 | 2015-07-30 |
| 1184650830 | Burgess Health Associates, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 460 Smith St, Middletown, CT 06457-1594 | 2006-06-24 |
| 1649895152 | Pdi Health Ct LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 500 W Putnam Ave Ste 400, Greenwich, CT 06830-6096 | 2020-06-10 |
| 1497201941 | Preventive Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Grove St, 105, New Britain, CT 06053-4116 | 2016-08-25 |
| 1124266200 | Advanced Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 50 Cherry St, Suite L, Milford, CT 06460-3487 | 2009-01-28 |
| 1508043613 | Housatonic Valley Radiological Associates PC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-01-31 |
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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.