IMPRESSION IMAGING LLC NPI 1528714714

NPI Information

NPI: 1528714714
Provider Name: IMPRESSION IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D2167592

Address:
6853 SW 18TH ST STE M101
BOCA RATON, FL
ZIP 33433
Phone: (561) 473-4610
Get Directions

IMPRESSION IMAGING LLC is a diagnostic radiology radiology in Boca Raton, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IMPRESSION IMAGING LLC NPI is 1528714714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6853 SW 18TH ST STE M101
BOCA RATON, FL
ZIP 33433-056
Phone: (561) 473-4610
Fax: (954) 580-2790

The provider's authorized official is Michael Fagien .
The authorized official title is Medical Director and has the following contact phone number (954) 580-2780.

The CLIA number assigned to this NPI record is 10D2167592 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2022 and was last updated on 2/25/2022.

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	2085N0904X	Radiology	Nuclear Radiology			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

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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