NEW SMYRNA DIAGNOSTIC IMAGING LLC NPI 1609887603

NPI Information

  • NPI: 1609887603
  • Provider Name: NEW SMYRNA DIAGNOSTIC IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 401 PALMETTO ST
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Phone: (386) 424-5140

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NPI Details

NEW SMYRNA DIAGNOSTIC IMAGING, LLC is a diagnostic radiology radiology in New Smyrna Beach, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NEW SMYRNA DIAGNOSTIC IMAGING, LLC NPI is 1609887603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 PALMETTO ST
NEW SMYRNA BEACH, FL
ZIP 32168-322
Phone: (386) 424-5140

The provider's authorized official is Al Falco .
The authorized official title is Chief Operating Officer and has the following contact phone number (386) 274-7118.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
198142OTHERFLORIDABLUE CROSS

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: 3/30/2025

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