INTELLIRAD IMAGING LLC NPI 1073859484

NPI Information

NPI: 1073859484
Provider Name: INTELLIRAD IMAGING, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3663 S MIAMI AVE
MIAMI, FL
ZIP 33133
Phone: (305) 854-4400
Get Directions

INTELLIRAD IMAGING, LLC is a diagnostic radiology radiology in Miami, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INTELLIRAD IMAGING, LLC NPI is 1073859484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3663 S MIAMI AVE
MIAMI, FL
ZIP 33133-253
Phone: (305) 854-4400

The provider's authorized official is Ronald Joseph .
The authorized official title is Partner and has the following contact phone number (305) 712-7229.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 7/5/2022.

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		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	007735100	MEDICAID	FLORIDA
2	007735101	MEDICAID	FLORIDA
3	003WY	OTHER	FLORIDA	FLORIDA BLUE

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: 4/28/2024

NPI Synchronization or Removal

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