PREMIER DIAGNOSTIC IMAGING SERVICES LLC NPI 1215036421

NPI Information

  • NPI: 1215036421
  • Provider Name: PREMIER DIAGNOSTIC IMAGING SERVICES LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 3595 W 20TH AVE
    SUITE 145
    HIALEAH, FL
    ZIP 33012
  • Phone: (305) 820-1455

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NPI Details

PREMIER DIAGNOSTIC IMAGING SERVICES LLC is a radiology clinic center in Hialeah, FL. PREMIER DIAGNOSTIC IMAGING SERVICES LLC NPI is 1215036421. The provider is registered as an organization entity type.

The provider's business location address is:

3595 W 20TH AVE
SUITE 145
HIALEAH, FL
ZIP 33012-533
Phone: (305) 820-1455
Fax: (305) 820-1485

The provider's authorized official is Raul E Meneses .
The authorized official title is President and has the following contact phone number (305) 467-4448.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/7/2007.

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
1261QR0200XClinic/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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1237861OTHERFDA CERTIFIED MAMMOGRAPHY
25899OTHERFLORIDAMEDICA
358201OTHERFLORIDANEIGHBORHOOD HEALTH PLANS
4306480OTHERFLORIDAAVMED
5375394OTHERFLORIDAHEALTHEASE
67027683OTHERFLORIDASUNCOAST HEALTH PLANS
7375394OTHERFLORIDAWELLCARE
8375394OTHERFLORIDASTAYWELL
97051871OTHERAETNA HEALTH PLANS
10AD658MEDICARE PINFLORIDA
111057548OTHERFLORIDACARE PLUS
12SG 082986OTHERFLORIDAVISTA/SUMMIT
13HCC7443OTHERFLORIDAAHCA CLINIC 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: 11/21/2025

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