NPIMap

Organization Active NPI

West Diagnostic Medical Imaging Inc

  • Clinical Medical Laboratory
  • Hialeah, FL
National Provider Identifier
1083802870
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WEST DIAGNOSTIC MEDICAL IMAGING INC
Practice address
2170 W 68TH St
Hialeah, FL 33016-1876
Phone
(186) 659-5529
Fax
(954) 636-5428
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Mrs. Solangie Machado
Title
Administrator
Phone
(954) 636-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

2170 W 68TH St
Hialeah, FL 33016-1876

Mailing address

6700 N Andrews Ave
109
Fort Lauderdale, FL 33309-2165
Phone (954) 636-3406

Other identifiers 1

IdentifierTypeStateIssuer
2778548MedicaidFL

Other names 1

  • WEST DIAGNOSTIC MEDICAL IMAGING INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
West Diagnostic Medical Imaging Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1083802870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ANDREWS AVE",
            "address_2": "109",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092165",
            "telephone_number": "954-636-3406",
            "fax_number": "954-636-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161876",
            "telephone_number": "186-659-5529",
            "fax_number": "954-636-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DIAGNOSTIC MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "SOLANGIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-636-3406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2778548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST DIAGNOSTIC MEDICAL IMAGING INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.