South Broward MRI Center, LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOUTH BROWARD MRI CENTER, LTD

Practice address

3500 Hollywood Blvd
Hollywood, FL 33021-6809

Phone

(954) 983-6488

NPI assigned

Mar 3, 2007

Organization subpart

No

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

Authorized official

Name

Herbert Louis Shick, MD

Title

Medical Director

Phone

(954) 962-4700

Specialties & licenses 1

Addresses

Other names 1

• MRI of South Broward Doing business as

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114056579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216809",
            "telephone_number": "954-983-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216809",
            "telephone_number": "954-983-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BROWARD MRI CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-962-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI of South Broward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Broward Hospital District
• South Broward Hospital District
• South Broward Hospital District
• South Broward Hospital District
• South Broward Imaging LLC
• South Broward MRI, LLC
• South Broward Nephrology & Hypertension Associates PA
• South Broward Vascular Associates LLC
• South Care 4 All Inc
• South Florida Cardiothoracic and Vascular Surgery PL

• Clinical Medical Laboratory in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinical Medical Laboratory 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.