Organization Active NPI

Johnson Diagnostic Center Inc

  • Radiology Clinic/Center
  • Hollywood, FL
National Provider Identifier
1114389996
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
CRT68355 Issued in FL
Legal business name
JOHNSON DIAGNOSTIC CENTER INC
Practice address
5917 Johnson St
Hollywood, FL 33021-5637
Phone
(954) 325-1826
Fax
(954) 415-8542
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Carlos M Cancell, CRT
Title
President
Phone
(954) 415-8541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X CRT68355 FL Primary

Addresses

Primary practice location

5917 Johnson St
Hollywood, FL 33021-5637

Mailing address

5917 Johnson St
Hollywood, FL 33021-5637
Phone (954) 325-1826

National Provider Directory

National Provider Directory

Locations

5917 Johnson St
Hollywood, FL 33021
Phone (954) 325-1826

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1114389996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215637",
            "telephone_number": "954-325-1826",
            "fax_number": "954-415-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 JOHNSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215637",
            "telephone_number": "954-325-1826",
            "fax_number": "954-415-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CANCELL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-415-8541",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "CRT68355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.