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AVENTURA DIAGNOSTIC TESTING GROUP INC NPI 1063541712


NPI Information

NPI: 1063541712
Provider Name: AVENTURA DIAGNOSTIC TESTING GROUP INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
18851 NE 29TH AVE
SUITE 201
AVENTURA, FL
ZIP 33180
Phone: (305) 932-5554
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AVENTURA DIAGNOSTIC TESTING GROUP INC is a radiology clinic center in Aventura, FL. AVENTURA DIAGNOSTIC TESTING GROUP INC NPI is 1063541712. The provider is registered as an organization entity type.

The provider's business location address is:

18851 NE 29TH AVE
SUITE 201
AVENTURA, FL
ZIP 33180-808
Phone: (305) 932-5554
Fax: (305) 412-8265

The provider's authorized official is Stephen E Cianciulli .
The authorized official title is President and has the following contact phone number (305) 275-6069.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 5/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QR0200XClinic/CenterRadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U3926MEDICARE ID-TYPE UNSPECIFIED

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: 1/10/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.