Organization Name: | MIDTOWN IMAGING, LLC. |
NPI Number: | 1003069808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN G JOHNSON (CFO) |
Mailing Address: | 18851 Ne 29th Ave Suite 103 Aventura |
State: | FL US |
Postal Code: | 331802808 |
Phone Number: | 3059325554 |
Fax Number: | 5612096377 |
NPI Enumeration Date: | 10/24/2008 |
NPI Last Update Date: | 07/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |