Pembroke Pines MRI Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PEMBROKE PINES MRI INC

Doing business as

DPI of Pembroke Pines

Practice address

10950 Pines Blvd
Pembroke Pines, FL 33026-5216

Phone

(954) 566-4551

Fax

(954) 566-4565

NPI assigned

Jul 11, 2006

Last updated

May 19, 2008By 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

Mr. Howard Stephan Dekkers

Title

Ceo

Phone

(954) 566-4551

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DPI of Pembroke Pines Doing business as

Locations

Practitioners 2

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.

• Andrew Daniel Kapadia

  • Technician/Technologist
  • Pembroke Pines, FL
  • NPI 1487328209
  NPD (past)
• Hieu Trung Bui, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1447209945
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1053346643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5206",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333105206",
            "telephone_number": "954-566-4551",
            "fax_number": "954-566-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265216",
            "telephone_number": "954-566-4551",
            "fax_number": "954-566-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE PINES MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "DEKKERS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-566-4551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7555441",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DPI of Pembroke Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.