Organization Active NPI

CT Images on the Go Inc.

  • Radiology Clinic/Center
  • Wellington, FL
National Provider Identifier
1104853431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
62331 Issued in FL
Legal business name
CT IMAGES ON THE GO INC.
Practice address
8190 Okeechobee Blvd
Wellington, FL 33411-2047
Phone
(561) 282-7672
Fax
(561) 683-5787
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elie M Polissaint, ARRTNPI 1053341412
Title
President
Phone
(561) 282-7672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 62331 FL Primary

Addresses

Primary practice location

8190 Okeechobee Blvd
Wellington, FL 33411-2047

Mailing address

3630 William St
Lake Park, FL 33403-1634
Phone (561) 282-7672

National Provider Directory

National Provider Directory

Locations

8190 Okeechobee Blvd
West Palm Beach, FL 33411
Phone (561) 282-7672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104853431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 WILLIAM ST",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031634",
            "telephone_number": "561-282-7672",
            "fax_number": "561-683-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 OKEECHOBEE BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334112047",
            "telephone_number": "561-282-7672",
            "fax_number": "561-683-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT IMAGES ON THE GO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLISSAINT",
        "authorized_official_first_name": "ELIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-282-7672",
        "authorized_official_credential": "ARRT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "62331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.