MOBILE HEART STATION INC NPI 1356428569

NPI Information

  • NPI: 1356428569
  • Provider Name: MOBILE HEART STATION INC
  • Classification: Specialist/Technologist Cardiovascular - 246XC2903X
  • Specialization: Vascular Specialist
  • Entity Type: Organization
  • Former Legal Business Name: MOBILE CV 2000 INC
  • Address: 196 TIMBERLANE ROAD
    PICAYUNE, MS
    ZIP 39466
  • Phone: (601) 799-5169

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NPI Details

MOBILE HEART STATION INC is a vascular specialist specialist technologist cardiovascular in Picayune, MS. The provider is a vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries or blood clots. MOBILE HEART STATION INC NPI is 1356428569. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mobile Cv 2000 Inc.

The provider's business location address is:

196 TIMBERLANE ROAD
PICAYUNE, MS
ZIP 39466
Phone: (601) 799-5169
Fax: (601) 799-3998

The provider's authorized official is War T Vichayanond .
The authorized official title is President & Ceo and has the following contact phone number (601) 799-5169.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 11/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246XS1301XSpecialist/Technologist CardiovascularSonographyARDMS11532No
22471S1302XRadiologic TechnologistSonographyARDMSNo
3246XC2903XSpecialist/Technologist CardiovascularVascular SpecialistARDMS11532Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100117333MEDICAIDMISSISSIPPI
2470000006MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
3470000422OTHERMISSISSIPPIMEDICARE RAILROAD
45CB82OTHERLOUISIANAMEDICARE OF LA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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