Integrated Medical Diagnostics, Corp.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

INTEGRATED MEDICAL DIAGNOSTICS, CORP.

Practice address

5523 Rawls Rd
Tampa, FL 33625-1324

Phone

(877) 343-2783

Fax

(888) 376-9730

NPI assigned

Nov 14, 2009

Last updated

Nov 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saeb Jannoun

Title

President

Phone

(877) 343-2783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1114254976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 RAWLS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251324",
            "telephone_number": "877-343-2783",
            "fax_number": "888-376-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 RAWLS RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251324",
            "telephone_number": "877-343-2783",
            "fax_number": "888-376-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL DIAGNOSTICS, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "JANNOUN",
        "authorized_official_first_name": "SAEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-343-2783"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; 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.