IMAGING CENTER OF WEST PALM BEACH LLC NPI 1578069100

NPI Information

NPI: 1578069100
Provider Name: IMAGING CENTER OF WEST PALM BEACH LLC

Other Name: ADVANCED DIAGNOSTIC GROUP-PORT ST. LUCIE

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

Specialization: Radiology

CLIA Number: 10D2039829

Address:
7041 S US HIGHWAY 1
PORT ST LUCIE, FL
ZIP 34952
Phone: (561) 684-9020
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IMAGING CENTER OF WEST PALM BEACH LLC is a radiology clinic center in Port St Lucie, FL. IMAGING CENTER OF WEST PALM BEACH LLC NPI is 1578069100. The provider is registered as an organization entity type.
The provider Other Name Is Advanced Diagnostic Group-port St. Lucie.

The provider's business location address is:

7041 S US HIGHWAY 1
PORT ST LUCIE, FL
ZIP 34952-429
Phone: (561) 684-9020
Fax: (561) 684-9060

The provider's authorized official is Richard Sarner .
The authorized official title is Co-owner and has the following contact phone number (561) 684-9020.

The CLIA number assigned to this NPI record is 10D2039829 - other - op diagnostic imaging ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/3/2018.

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

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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