Blue Water Imaging, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

BLUE WATER IMAGING, LLC

Practice address

2401 Frist Blvd
Ste. 10
Fort Pierce, FL 34950-4839

Phone

(772) 429-3113

Fax

(772) 429-3114

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Sharlene A Blanton

Title

President

Phone

(772) 429-3113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104963933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "address_2": "STE. 10",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504839",
            "telephone_number": "772-429-3113",
            "fax_number": "772-429-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD",
            "address_2": "STE. 10",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504839",
            "telephone_number": "772-429-3113",
            "fax_number": "772-429-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-429-3113"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Blay
• Blessed-in-Care LLC
• Laverne Bloomfield
• Michael Bloomfield, ED.D.
• Blue Sky Counseling, LLC
• Blue Window Therapy Services, Inc
• James Robert Blum
• Noah M Blum, D.P.M.
• Andrea Kivinski Blumstein
• Justin Boccardo, M.D.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• 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.