Altec Diagnostics & Imaging Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ALTEC DIAGNOSTICS & IMAGING INC

Practice address

5562 Spring Park Rd
Jacksonville, FL 32216-5549

Phone

(904) 854-6741

Fax

(904) 425-3144

NPI assigned

Nov 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary Wright

Title

President and Ceo

Phone

(813) 675-2439

Specialties & licenses 1

Addresses

Other names 1

• Altec High-Field Open Diagnostic Imaging Center Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith L Mullenger, M.D.

  • Diagnostic Radiology Physician
  • Jupiter, FL
  • NPI 1366481079
  NPD (past)
• Kye C Pahk, MD

  • Urology Physician
  • Sebring, FL
  • NPI 1558357657
  NPD (past)
• Scott David Wiedenmann, M.D.

  • Diagnostic Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1245340744
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1013087865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 SPRING PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165549",
            "telephone_number": "904-854-6741",
            "fax_number": "631-517-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 SPRING PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165549",
            "telephone_number": "904-854-6741",
            "fax_number": "904-425-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTEC DIAGNOSTICS & IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-675-2439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altec High-Field Open Diagnostic Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corliss Yvette Alston
• Jasmon Alyssa Alston
• Michael R Alston, MD
• Kristina A Altadonna, CRNA
• Abdallah Mahmoud Altantawi, MD
• Renee E Alten
• Kathryn Jackson Altenbach
• Sean M Altenbach, D.M.D.
• Altercare LLC
• Alissa Alterman, O.D.

• Diagnostic Radiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.