HENDRY DIAGNOSTIC IMAGING CENTER (NPI# 1295862605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295862605 |
| Entity Type | Organization |
| Organization Name | HENDRY DIAGNOSTIC IMAGING CENTER |
| Practice Address |
1008 W Sagamore Ave Clewiston FL 33440-3420 |
| Mailing Address |
Po Box 151908 Cape Coral FL 33915-1908 |
| Practice Telephone | 8639831103 |
| Practice Fax Number | 8639830307 |
| Mailing Telephone | 2392425237 |
| Mailing Fax Number | 2392427274 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | VICTOR C BASILE (DIRECTOR) |
| Authorized Official Telephone | 8639831103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS# MEDICAL DIRECTOR | 27010A | 01 |
| Street Address |
1008 W SAGAMORE AVE |
| City | CLEWISTON |
| State | FL |
| Zip Code | 33440-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801116918 | Argen Enterprises of Hendry Inc | Clinic/Center | 1008 W Sagamore Ave, Suite 2, Clewiston, FL 33440-3420 | 2010-06-11 |
| 1538314919 | Adnan Shariff Inc | Podiatrist | 1008 W Sagamore Ave, Clewiston, FL 33440-3420 | 2008-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072132 | Seminole Pharmacy | Pharmacy | 31055 Josie Billie Highway, Clewiston, FL 33440 | 2017-06-06 |
| 1740551530 | Seminole Tribe of Florida | Clinic/Center | 30851 Buffalo Jim Loop Road, Clewiston, FL 33440 | 2012-01-25 |
| 1184850901 | Elizabeth Boykin | Nurse Practitioner | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2009-06-08 |
| 1861683237 | Antoinette Marie Pavey-mcdaniel | Nurse Practitioner | 203 S Gloria St, Hendry Regional Corp Health, Clewiston, FL 33440 | 2007-08-09 |
| 1225229909 | Kurt Gabriel Hausy | Dentist | 316 E. Trinidad Ave., Clewiston, FL 33440 | 2007-08-07 |
| 1265565527 | Joanne Louise Vorhees | Nurse Practitioner | 1100 South Olympia St, Hendry County Health Department, Clewiston, FL 33440 | 2007-03-14 |
| 1831222850 | Richard J Anton | Optometrist | 1005 W. Sugarland Hwy, Walmart Nat Vision Cen, Clewiston, FL 33440 | 2007-03-13 |
| 1932278017 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 28280 E Tu Makee Way, Clewiston, FL 33440 | 2006-11-06 |
| 1720342173 | Vandhana Bhagwan Kiswani-barley | Family Medicine | 31055 Josie Billie Hwy, Clewiston, FL 33440 | 2012-06-29 |
| 1275782492 | Juan and John Drugs | Pharmacy | 340 E Sugarland Hwy, Suite B, Clewiston, FL 33440 | 2008-09-11 |
| Find all providers in zip 33440 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801116918 | Argen Enterprises of Hendry Inc | Clinic/Center | 1008 W Sagamore Ave, Suite 2, Clewiston, FL 33440-3420 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700176 | Mri Associates of Crystal River | Clinic/Center | 6136 W Gulf To Lake Hwy, Crystal River, FL 34429-7558 | 2020-11-04 |
| 1477168714 | Indago Imaging | Clinic/Center | 3716 W 12th Ave, Hialeah, FL 33012-4126 | 2020-09-14 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1548880784 | Lee County Mri Inc | Clinic/Center | 2215 Winkler Ave Ste G, Fort Myers, FL 33901-9150 | 2020-04-17 |
| 1053942383 | Musculoskeletal Institute Chartered | Clinic/Center | 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655-4405 | 2020-01-27 |
| 1407497647 | Proscan Imaging Naples LLC | Clinic/Center | 8340 Sierra Meadows Blvd Ste 103, Naples, FL 34113-7328 | 2019-09-30 |
| 1851940100 | Express Medical Imaging, LLC | Clinic/Center | 6300 Saint Johns Ave, Palatka, FL 32177-3884 | 2019-09-10 |
| 1104478601 | Flagler Mri Diagnostic Inc | Clinic/Center | 8000 W Flagler St Ste 102, Miami, FL 33144-2157 | 2019-07-15 |
| 1205497260 | South Miami Open Mri LLC | Clinic/Center | 6161 Sunset Dr Ste A, South Miami, FL 33143-5045 | 2019-06-21 |
| 1215592829 | Advance Scans & Imaging Center Inc. | Clinic/Center | 2453 N State Road 7, Lauderdale Lakes, FL 33313-3723 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.