Active NPI
Spinal Motion Diagnostics Fort Lauderdale LLC
- Radiology Clinic/Center
- Palm Beach Gardens, FL
National Provider Identifier
1063950343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- SPINAL MOTION DIAGNOSTICS FORT LAUDERDALE LLC
- Practice address
- 8435 Man O War Road
Palm Beach Gardens, FL 33418 - Phone
- (954) 685-5343
- NPI assigned
- Feb 7, 2017
- Organization subpart
- Yes
- Parent organization
- SPINAL MOTION DIAGNOSTICS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Tadros
- Title
- Owner
- Phone
- (561) 685-5343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
8435 Man O War Road
Palm Beach Gardens, FL 33418
Mailing address
5333 N Dixie Hwy
Suite 208
Oakland Park, FL 33334-3414
Phone (954) 616-8076
National Provider Directory
National Provider Directory- Part of
- Spinal Motion Diagnostics
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Radiology Clinic/Center
- Palm Beach Gardens, FL
- NPI 1003350406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1063950343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 N DIXIE HWY",
"address_2": "SUITE 208",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343414",
"telephone_number": "954-616-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8435 MAN O WAR ROAD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "33418",
"telephone_number": "954-685-5343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL MOTION DIAGNOSTICS FORT LAUDERDALE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPINAL MOTION DIAGNOSTICS LLC",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "TADROS",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-685-5343"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.