CUSTOM RADIOLOGY SOLUTIONS LLC NPI 1073790291

NPI Information

NPI: 1073790291
Provider Name: CUSTOM RADIOLOGY SOLUTIONS LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
13731 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912
Phone: (239) 333-2484
Get Directions

CUSTOM RADIOLOGY SOLUTIONS LLC is a diagnostic radiology radiology in Fort Myers, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CUSTOM RADIOLOGY SOLUTIONS LLC NPI is 1073790291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13731 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912
Phone: (239) 333-2484
Fax: (239) 333-2483

The provider's authorized official is Chaim J Margolin .
The authorized official title is Md/owner and has the following contact phone number (239) 333-2484.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 9/26/2011.

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
1	2085R0202X	Radiology	Diagnostic Radiology	ME62306	FLORIDA	Yes

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
1	ME62306	OTHER	FLORIDA	MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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