Provider Demographics
NPI:1629668777
Name:MOBILE HEART USA, LLC
Entity Type:Organization
Organization Name:MOBILE HEART USA, LLC
Other - Org Name:MOBILE HEART USA CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BA, BSM
Authorized Official - Phone:251-435-8567
Mailing Address - Street 1:3290 DAUPHIN ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4052
Mailing Address - Country:US
Mailing Address - Phone:251-873-6280
Mailing Address - Fax:251-873-6281
Practice Address - Street 1:3290 DAUPHIN ST STE 301
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4052
Practice Address - Country:US
Practice Address - Phone:251-873-6280
Practice Address - Fax:251-873-6281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty