NPIMap

Organization Active NPI

Complete Diagnostic Imaging Center

  • Radiology Clinic/Center
  • Brooksville, FL
National Provider Identifier
1124289335
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
COMPLETE DIAGNOSTIC IMAGING CENTER
Practice address
11307 Cortez Blvd
Suite B
Brooksville, FL 34613-5407
Phone
(352) 597-4338
Fax
(352) 597-5882
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Wilhelm Rameau, MD
Title
President
Phone
(352) 597-4338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

11307 Cortez Blvd
Suite B
Brooksville, FL 34613-5407

Mailing address

11307 Cortez Blvd
Suite B
Brooksville, FL 34613-5407
Phone (352) 597-4338

National Provider Directory

National Provider Directory

Locations

11307 Cortez Blvd
Ste B
Brooksville, FL 34613
Phone (352) 597-4338

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1124289335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 CORTEZ BLVD",
            "address_2": "SUITE B",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135407",
            "telephone_number": "352-597-4338",
            "fax_number": "352-597-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 CORTEZ BLVD",
            "address_2": "SUITE B",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135407",
            "telephone_number": "352-597-4338",
            "fax_number": "352-597-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DIAGNOSTIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "RAMEAU",
        "authorized_official_first_name": "WILHELM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-597-4338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.