Active NPI
CT Images on the Go Inc.
- Radiology Clinic/Center
- Wellington, FL
National Provider Identifier
1104853431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 62331
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elie M Polissaint, ARRT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Computed Tomography Radiologic Technologist
- Lake Park, FL
- NPI 1053341412
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.