| Organization Name: | A1 IMAGING OF CAPE CORAL LLC |
| NPI Number: | 1003075474 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILYN RADAKOVIC (COO) |
| Mailing Address: | 1003 Del Prado Blvd S Suite 102 Cape Coral |
| State: | FL US |
| Postal Code: | 339903601 |
| Phone Number: | 2395736333 |
| Fax Number: | 2395738674 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |