Active NPI
Intellirad Imaging, LLC
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1003697988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- INTELLIRAD IMAGING, LLC
- Practice address
- 11760 SW 40TH St Ste 722
Miami, FL 33175-8101 - Phone
- (305) 559-1883
- NPI assigned
- Oct 9, 2023
- Organization subpart
- Yes
- Parent organization
- INTELLIRAD IMAGING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Joseph, MD
- Title
- Partner
- Phone
- (305) 712-7229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
11760 SW 40TH St Ste 722
Miami, FL 33175-8101
Mailing address
PO Box 7623
Naples, FL 34101-7623
Phone (800) 475-3698
National Provider Directory
National Provider Directory- Tax ID family
- Intellirad Imaging LLC
- Part of
- Intellirad Imaging LLC
Other organizations with this tax ID 26
Organizations that report the same tax identification number in the National Provider Directory.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1003697988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7623",
"city": "NAPLES",
"state": "FL",
"postal_code": "341017623",
"telephone_number": "800-475-3698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 SW 40TH ST STE 722",
"city": "MIAMI",
"state": "FL",
"postal_code": "331758101",
"telephone_number": "305-559-1883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTELLIRAD IMAGING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTELLIRAD IMAGING, LLC",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-07",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "305-712-7229",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.