New Life Imaging Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

NEW LIFE IMAGING INC

Practice address

501 NW Lake Whitney Place
Suite #106
Port St Lucie, FL 34986-3443

Phone

(772) 785-8000

Fax

(772) 785-8150

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan A Brown, RDMS

Title

Owner/Operator

Phone

(772) 785-8000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1033299516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PLACE",
            "address_2": "SUITE #106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863443",
            "telephone_number": "772-785-8000",
            "fax_number": "772-785-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PLACE",
            "address_2": "SUITE #106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863443",
            "telephone_number": "772-785-8000",
            "fax_number": "772-785-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "772-785-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510001100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "V2026",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• New Life Assisted Living, Inc.
• New Life Pharmacy & Medical Supply Inc
• Jodi B Newman, RD
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• Next Level Care LLC
• Next Level Wellness Center

• Mobile Radiology Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.