Organization Active NPI

In-House Diagnostic Services, Inc.

  • Radiology Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1104162007
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
IN-HOUSE DIAGNOSTIC SERVICES, INC.
Practice address
1489 N Military TRL
Suite # 217
West Palm Beach, FL 33409-6029
Phone
(561) 712-1285
Fax
(561) 712-1285
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Mr. Ivar Croes, MBA
Title
President
Phone
(954) 303-9272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1489 N Military TRL
Suite # 217
West Palm Beach, FL 33409-6029

Mailing address

1489 N Military TRL
Suite # 217
West Palm Beach, FL 33409-6029
Phone (561) 712-1285

National Provider Directory

National Provider Directory
Tax ID family
In-House Diagnostic Services Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1104162007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL",
            "address_2": "SUITE # 217",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096029",
            "telephone_number": "561-712-1285",
            "fax_number": "561-712-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL",
            "address_2": "SUITE # 217",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096029",
            "telephone_number": "561-712-1285",
            "fax_number": "561-712-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOUSE DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "CROES",
        "authorized_official_first_name": "IVAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-303-9272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.