PINES DIAGNOSTIC TESTING GROUP INC NPI 1700917788

NPI Information

NPI: 1700917788
Provider Name: PINES DIAGNOSTIC TESTING GROUP INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
10001 PINES BLVD
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 443-8010
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PINES DIAGNOSTIC TESTING GROUP INC is a radiology clinic center in Pembroke Pines, FL. PINES DIAGNOSTIC TESTING GROUP INC NPI is 1700917788. The provider is registered as an organization entity type.

The provider's business location address is:

10001 PINES BLVD
PEMBROKE PINES, FL
ZIP 33024-136
Phone: (954) 443-8010
Fax: (305) 412-8265

The provider's authorized official is Stephen E Cianciulli .
The authorized official title is President and has the following contact phone number (305) 275-6069.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 5/13/2008.

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	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	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	U1774	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

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

NPI Synchronization or Removal

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