Organization Active NPI

Radiology Diagnostic Medical Imaging LLC

  • Radiology Clinic/Center
  • Plantation, FL
National Provider Identifier
1043095607
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RADIOLOGY DIAGNOSTIC MEDICAL IMAGING LLC
Practice address
7050 NW 4TH St Ste 204303
Plantation, FL 33317-2200
Phone
(954) 292-1020
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Rosangelica Machado
Title
Ceo
Phone
(954) 922-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7050 NW 4TH St Ste 204303
Plantation, FL 33317-2200

Mailing address

5200 SW 113TH Ave
Davie, FL 33330-2809
Phone (954) 533-7696

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1043095607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SW 113TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302809",
            "telephone_number": "954-533-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST STE 204303",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172200",
            "telephone_number": "954-292-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY DIAGNOSTIC MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "ROSANGELICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-922-1020"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

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

Verify at the official NPI Registry.