A1 Imaging Ofboynton Beach LLC

Primary specialty

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

License

HCC5193 Issued in FL

Legal business name

A1 IMAGING OFBOYNTON BEACH LLC

Practice address

3795 W Boynton Beach Blvd
Ste C
Boynton Beach, FL 33436-4502

Phone

(561) 740-0221

Fax

(561) 740-9305

NPI assigned

Jan 30, 2009

Organization subpart

Yes

Parent organization

A1 IMAGING CENTER LLCAs reported in NPPES

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

Authorized official

Name

Marilyn Radakovic

Title

Coo

Phone

(951) 315-6661

Specialties & licenses 1

Addresses

Other names 1

• A1 IMAGING OF BOYNTON BEACH Doing business as

Part of

A1 Imaging Centers LLC

Locations

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1053559930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 2ND ST",
            "address_2": "SUITE 915",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365946",
            "telephone_number": "941-315-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 W BOYNTON BEACH BLVD",
            "address_2": "STE C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364502",
            "telephone_number": "561-740-0221",
            "fax_number": "561-740-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 IMAGING OFBOYNTON BEACH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A1 IMAGING CENTER LLC",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "RADAKOVIC",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-315-6661"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC5193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 IMAGING OF BOYNTON BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, 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 Dec 4, 2014; 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.