DIVERSITY MRI LLC NPI 1346746179

NPI Information

NPI: 1346746179
Provider Name: DIVERSITY MRI LLC
Classification: Clinic/Center - 261QM1200X
Specialization: Magnetic Resonance Imaging (MRI)
Entity Type: Organization
CLIA Number: 10D2318050
Address: 801 S UNIVERSITY DR STE K103A
PLANTATION, FL
ZIP 33324
Phone: (954) 905-7217

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NPI Details

DIVERSITY MRI LLC is a magnetic resonance imaging (mri) clinic center in Plantation, FL. DIVERSITY MRI LLC NPI is 1346746179. The provider is registered as an organization entity type.

The provider's business location address is:

801 S UNIVERSITY DR STE K103A
PLANTATION, FL
ZIP 33324-367
Phone: (954) 905-7217
Fax: (954) 905-7217

The provider's authorized official is Joshua A Ruskin .
The authorized official title is Owner and has the following contact phone number (954) 347-2242.

The CLIA number assigned to this NPI record is 10D2318050 - other - imaging center-idtf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 6/21/2024.

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	261Q00000X	Clinic/Center		L17000172498	FLORIDA	No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	L17000172498	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	121391600	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: 11/21/2025

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