Crestview MRI

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CRESTVIEW MRI

Doing business as

Center of Imaging Excellence Crestview

Practice address

700 Hospital Drive
Crestview, FL 32539

Phone

(850) 398-8573

NPI assigned

Dec 26, 2007

Last updated

Aug 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bart A Medlen

Title

Owner

Phone

(256) 536-3550

Specialties & licenses 1

Addresses

Other names 1

• Center of Imaging Excellence Crestview Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John James Holmes, M.D.

  • Diagnostic Radiology Physician
  • Vero Beach, FL
  • NPI 1043211576
  NPD
• Jeffrey Benjamin Sacks, M.D.

  • Diagnostic Radiology Physician
  • Vero Beach, FL
  • NPI 1962403188
  NPD
• Alfred Lashawn Malone, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
  • NPI 1720252315
  NPD
• Jan Malat, M.D.

  • Neuroradiology Physician
  • Naples, FL
  • NPI 1083613996
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1043494164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003A WHITESBURG DR S",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014543",
            "telephone_number": "256-536-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HOSPITAL DRIVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32539",
            "telephone_number": "850-398-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "MEDLEN",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-536-3550"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Imaging Excellence Crestview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crestview Hospital Corporation (Crestview Surgery Center)
• Crestview Hospital Corporation (Gateway Medical Clinic)
• Crestview Hospital Corporation
• Crestview Immediate Care LLC
• Crestview Kids
• Crestview Neurology
• Crestview Open MRI Inc
• Crestview Open MRI Inc (Crestview Open MRI)
• Crestview Pediatrics and Adolescent Center PA
• Crestview Pharmacy, LLC

• Radiology Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.