# HOLLYWOOD MOBILE DIAGNOSTICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669541454
- **Authorized official:** ERIC SHARENOW (OWNER PRESIDENT)
- **Authorized official phone:** (954) 965-0054

## Contact information

- **Practice address:** 2216 N 20TH AVE, HOLLYWOOD, FL 33020-2108
- **Practice address phone:** (954) 965-0054
- **Practice address fax:** (954) 965-5967
- **Mailing address:** 2216 N 20TH AVE, HOLLYWOOD, FL 33020-2108
- **Mailing address phone:** (954) 965-0054
- **Mailing address fax:** (954) 965-5967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 06/05/2008