MIDTOWN IMAGING LLC


Address: 5405 Okeechobee Blvd, Suite 101, West Palm Beach, FL 33417-4543
Phone: 5616973001

MIDTOWN IMAGING LLC (NPI# 1518917707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518917707
Entity Type Organization
Organization Name MIDTOWN IMAGING LLC
Practice Address 5405 Okeechobee Blvd
Suite 101
West Palm Beach
FL 33417-4543
Practice Telephone 5616973001
Practice Fax Number 5616973284
Mailing Telephone 5616973001
Mailing Fax Number 5616973284
Enumeration Date 2006-05-11
Last Update Date 2007-09-21
Authorized Official Name MR. KEVIN JOHNSON (CHEIF FINANCIAL OFFICER)
Authorized Official Telephone 5616973001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
JR3001900 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL CIGNA 0853314 01
FL AVMED 100393 01
FL FOUNDATION 13131 01
FL BCBS V2692 01
FL UNITED 1600555 01
FL WELLCARE 16566 01
FL PRINCIPAL 80771 01
FL BCBS V2965 01
FL BCBS V2966 01
FL BCBS V2448 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770652984 Midtown Imaging LLC Clinic/Center 2529 Burns Rd, Palm Beach Gardens, FL 33410-5204 2006-11-06
1700360542 Midtown Imaging LLC Radiology 316 E 30th St, New York, NY 10016-8366 2018-09-18
1700016086 Midtown Imaging LLC Clinic/Center 18851 Ne 29th Ave, Suite 201, Aventura, FL 33180-2808 2009-07-21
1427288067 Midtown Imaging LLC Clinic/Center 7400 Sw 87th Ave, Suite 120b, Miami, FL 33173-5458 2009-07-16
1548328123 Midtown Imaging LLC Clinic/Center 440 N State Road 7, Royal Palm Beach, FL 33411-3504 2006-12-05
1407928419 Midtown Imaging LLC Clinic/Center 5405 Okeechobee Blvd, Suite 101, West Palm Beach, FL 33417-4543 2006-11-14
1568531911 Midtown Imaging LLC Clinic/Center 601 University Blvd, Suite B101, Jupiter, FL 33458 2006-11-07
1801965025 Midtown Imaging LLC Clinic/Center 345 Jupiter Lakes Blvd, Suite 100, Jupiter, FL 33458-7100 2006-11-06

Office Location

Street Address 5405 OKEECHOBEE BLVD
SUITE 101
City WEST PALM BEACH
State FL
Zip Code 33417-4543

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City WEST PALM BEACH
Zip Code 33417

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Dataset Information

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.

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