| Organization Name: | PROFESSIONAL IMAGING CENTERS INC |
| NPI Number: | 1033300330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWIN MEJIAS (ADMINISTRATOR/CFO) |
| Mailing Address: | 911 E Oak Street Suite A Kissimmee |
| State: | FL US |
| Postal Code: | 347445836 |
| Phone Number: | 4078473070 |
| Fax Number: | 4076789938 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 06/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | HCC7787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |