Organization Name: | SID IMAGING INC |
NPI Number: | 1033159181 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANFORD DAVIS (PRESIDENT) |
Mailing Address: | 7899 Talavera Pl Delray Beach |
State: | FL US |
Postal Code: | 334464322 |
Phone Number: | 5614983248 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | ME31479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |