NPIMap

Organization Active NPI

Intellirad Imaging, LLC

  • Diagnostic Radiology Physician
  • Davie, FL
National Provider Identifier
1114673662
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTELLIRAD IMAGING, LLC
Practice address
3476 S University Dr
Davie, FL 33328-2000
Phone
(954) 475-4350
NPI assigned
Feb 23, 2022
Organization subpart
Yes
Parent organization
INTELLIRAD IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. Ronald Joseph, MD
Title
Treasurer
Phone
(305) 712-7229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3476 S University Dr
Davie, FL 33328-2000

Mailing address

PO Box 7623
Naples, FL 34101-7623
Phone (800) 475-3698

National Provider Directory

National Provider Directory
Tax ID family
Intellirad Imaging LLC27 organizations share this tax ID, including this one
Part of
Intellirad Imaging LLC

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1114673662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623",
            "telephone_number": "800-475-3698",
            "fax_number": "985-646-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282000",
            "telephone_number": "954-475-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIRAD IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTELLIRAD IMAGING, LLC",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "305-712-7229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.