NPIMap

Organization Active NPI

Altamonte Springs Diagnostic Imaging Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1144378993
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
4645 Issued in FL
Legal business name
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Practice address
601 N. Congress Ave
Suite 311
Delray Beach, FL 33445-4621
Phone
(561) 921-0922
Fax
(561) 921-0923
NPI assigned
Jan 8, 2007
Organization subpart
Yes
Parent organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Ronald I Landau, M.D.
Title
Owner
Phone
(407) 482-5253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 4645 FL Primary

Addresses

Primary practice location

601 N. Congress Ave
Suite 311
Delray Beach, FL 33445-4621

Mailing address

601 N Congress Ave
Suite 311
Delray Beach, FL 33445-4703
Phone (561) 921-0922

Other identifiers 1

IdentifierTypeStateIssuer
269651700MedicaidFL

Other names 1

  • PREMIER MEDICAL IMAGING Doing business as

National Provider Directory

National Provider Directory
Part of
Mid Florida Imaging

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1144378993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CONGRESS AVE",
            "address_2": "SUITE 311",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454703",
            "telephone_number": "561-921-0922",
            "fax_number": "561-921-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N. CONGRESS AVE",
            "address_2": "SUITE 311",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454621",
            "telephone_number": "561-921-0922",
            "fax_number": "561-921-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-482-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "4645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269651700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.