IMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC NPI 1497820948

NPI Information

NPI: 1497820948
Provider Name: IMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC

Former Legal Business Name: INMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC

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

Specialization: Radiology

Address:
8903 GLADES RD
SUITE B1
BOCA RATON, FL
ZIP 33434
Phone: (561) 218-9011
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IMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC is a radiology clinic center in Boca Raton, FL. IMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC NPI is 1497820948. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Inmed Diagnostic Services Of Southeast Florida Llc.

The provider's business location address is:

8903 GLADES RD
SUITE B1
BOCA RATON, FL
ZIP 33434-074
Phone: (561) 218-9011
Fax: (561) 218-9012

The provider's authorized official is Alan Sternberg .
The authorized official title is Managing Partner and has the following contact phone number (561) 218-9011.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 10/15/2008.

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	HCC7491	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	U2854	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	V2949	OTHER	FLORIDA	BLUECROSS BLUESHIELD

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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