Organization Name: | INDEPENDENT IMAGING LLC |
NPI Number: | 1174989255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTHUR HANSEN (OWNER) |
Mailing Address: | 11551 Southern Blvd Suite 1 Royal Palm Beach |
State: | FL US |
Postal Code: | 334114254 |
Phone Number: | 5617661300 |
Fax Number: | 5616930539 |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 01/05/2016 |
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: |