WEST PALM BEACH RESOURCES INC NPI 1508859695

NPI Information

NPI: 1508859695
Provider Name: WEST PALM BEACH RESOURCES, INC

Doing Business As: EXTREMITY MRI AND RADIOLOGY

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

Specialization: Radiology

Address:
7520 SW 57TH AVE STE A
SOUTH MIAMI, FL
ZIP 33143
Phone: (833) 674-3668
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WEST PALM BEACH RESOURCES, INC is a radiology clinic center in South Miami, FL. WEST PALM BEACH RESOURCES, INC NPI is 1508859695. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Extremity Mri And Radiology.

The provider's business location address is:

7520 SW 57TH AVE STE A
SOUTH MIAMI, FL
ZIP 33143-330
Phone: (833) 674-3668

The provider's authorized official is Ketang Modi .
The authorized official title is President and has the following contact phone number (201) 310-2957.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 3/6/2024.

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	2085R0202X	Radiology	Diagnostic Radiology			No
2	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	QO628	OTHER	FLORIDA	MEDICARE
2	105687700	MEDICAID	FLORIDA
3	MB418	OTHER	FLORIDA	MEDICARE
4	V2233	OTHER	FLORIDA	FLORIDA BLUE

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

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