PREMIER DIAGNOSTIC IMAGING SERVICES LLC NPI 1215036421

NPI Information

NPI: 1215036421
Provider Name: PREMIER DIAGNOSTIC IMAGING SERVICES LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3595 W 20TH AVE
SUITE 145
HIALEAH, FL
ZIP 33012
Phone: (305) 820-1455
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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
1	261QR0200X	Clinic/Center	Radiology			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	237861	OTHER		FDA CERTIFIED MAMMOGRAPHY
2	5899	OTHER	FLORIDA	MEDICA
3	58201	OTHER	FLORIDA	NEIGHBORHOOD HEALTH PLANS
4	306480	OTHER	FLORIDA	AVMED
5	375394	OTHER	FLORIDA	HEALTHEASE
6	7027683	OTHER	FLORIDA	SUNCOAST HEALTH PLANS
7	375394	OTHER	FLORIDA	WELLCARE
8	375394	OTHER	FLORIDA	STAYWELL
9	7051871	OTHER		AETNA HEALTH PLANS
10	AD658	MEDICARE PIN	FLORIDA
11	1057548	OTHER	FLORIDA	CARE PLUS
12	SG 082986	OTHER	FLORIDA	VISTA/SUMMIT
13	HCC7443	OTHER	FLORIDA	AHCA 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: 11/14/2023

NPI Synchronization or Removal

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