Organization Active NPI

Spinal Motion Diagnostics Fort Lauderdale LLC

  • Radiology Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1063950343
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.