NPIMap

Organization Active NPI

Health Diagnostics of Fort Lauderdale LLC

Doing business as Stand-Up MRI and 3T Imaging of Casselberry

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fern Park, FL
National Provider Identifier
1093437386
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
HEALTH DIAGNOSTICS OF FORT LAUDERDALE LLC
Doing business as
Stand-Up MRI and 3T Imaging of Casselberry
Practice address
2915 Lakeview Dr Ste 1041
Fern Park, FL 32730-2056
Phone
(407) 987-4001
Fax
(407) 987-4002
NPI assigned
Sep 14, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Kurt W Reimann
Title
Partner/Managing Director
Phone
(631) 694-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

2915 Lakeview Dr Ste 1041
Fern Park, FL 32730-2056

Mailing address

PO Box 170
Farmingdale, NY 11735-0170
Phone (631) 694-2816

Other names 1

  • Stand-Up MRI and 3T Imaging of Casselberry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.standupmriand3Timagingofcasselberry

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225001834 FL Part B Supplier - Clinic/Group Practice 9638123896 Receives reassigned benefits from 11 practitioners
Practice locations: Fern Park, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Damadian MRI in Pompano2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2915 Lakeview Dr
Ste 1041
Fern Park, FL 32730
Phone (407) 987-4001

2915 Lakeview Dr
Ste 1C
Fern Park, FL 32730

4616 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 489-0099

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1093437386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117350170",
            "telephone_number": "631-694-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 LAKEVIEW DR STE 1041",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302056",
            "telephone_number": "407-987-4001",
            "fax_number": "407-987-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DIAGNOSTICS OF FORT LAUDERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "REIMANN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "631-694-2816"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.standupmriand3Timagingofcasselberry",
            "affiliation": "N",
            "address_1": "2915 Lakeview Drive",
            "address_2": "Suite 1C",
            "city": "Casselberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stand-Up MRI and 3T Imaging of Casselberry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stand-Up MRI and 3T Imaging of Casselberry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fern Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.