| Organization Name: | INDEPENDENT IMAGING, LLC |
| NPI Number: | 1508233487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JORGE DANIEL GHIRAGOSSIAN (CEO) |
| Mailing Address: | 701 S Main St Belle Glade |
| State: | FL US |
| Postal Code: | 334304201 |
| Phone Number: | 5617955558 |
| Fax Number: | 5617927300 |
| NPI Enumeration Date: | 08/27/2015 |
| NPI Last Update Date: | 09/10/2015 |
| 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: | |