Provider Demographics
NPI:1497778849
Name:UNITED MOBILE X-RAY, INC.
Entity Type:Organization
Organization Name:UNITED MOBILE X-RAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-897-6918
Mailing Address - Street 1:10744 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2456
Mailing Address - Country:US
Mailing Address - Phone:305-222-1341
Mailing Address - Fax:305-222-1342
Practice Address - Street 1:10744 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2456
Practice Address - Country:US
Practice Address - Phone:305-222-1341
Practice Address - Fax:305-222-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLW9956Medicare ID - Type Unspecified