MEDICAL TECHNOLOGY TRANSFER CORPORATION NPI 1215017710

NPI Information

NPI: 1215017710
Provider Name: MEDICAL TECHNOLOGY TRANSFER CORPORATION

Doing Business As: UNIVERSITY CENTER IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 10D2024552

Address:
1800 W HIBISCUS BLVD STE 100
MELBOURNE, FL
ZIP 32901
Phone: (321) 726-3800
Get Directions

MEDICAL TECHNOLOGY TRANSFER CORPORATION is a radiology clinic center in Melbourne, FL. MEDICAL TECHNOLOGY TRANSFER CORPORATION NPI is 1215017710. The provider is registered as an organization entity type.
The provider Is Doing Business As University Center Imaging.

The provider's business location address is:

1800 W HIBISCUS BLVD STE 100
MELBOURNE, FL
ZIP 32901-624
Phone: (321) 726-3800
Fax: (321) 726-3849

The provider's authorized official is Julia Watt .
The authorized official title is Hr Manager and has the following contact phone number (321) 726-1618.

The CLIA number assigned to this NPI record is 10D2024552 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/19/2022.

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	261QR0200X	Clinic/Center	Radiology	HCC5224	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	111935400	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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