Hollywood Mobile Diagnostics Inc

LBN: Hollywood Mobile Diagnostics Inc
Hollywood Mobile Diagnostics Inc is an health care organization with primary practice located at 2216 N 20Th Ave , Hollywood FL 33020-2108. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Physiological Laboratory, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier is the primary health care specialty. Hollywood Mobile Diagnostics Inc can be contacted via phone (954) 965-0054, or through Sharenow, Eric via phone (954) 965-0054.

Contact Information

Primary practice address
2216 N 20Th Ave Hollywood FL 33020-2108
Phone: (954) 965-0054
Fax: (954) 965-5967
Website:
Map and Directions
Authorized official contact:
Name: Sharenow, Eric
Phone: (954) 965-0054

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Profile Details

NPI number 1669541454
LBN Legal business name Hollywood Mobile Diagnostics Inc
DBA Doing business as
Authorized official Sharenow, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669541454 NPPES
Florida MEDICAID 510063100

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