Organization Active NPI

Remote Rad Tech

  • Body Imaging Physician
  • Dover, DE
National Provider Identifier
1154169613
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
REMOTE RAD TECH
Practice address
8 The GRN
Dover, DE 19901-3618
Phone
(646) 785-0788
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Flavio Cipriano Da Fonseca Lanes
Title
Manager
Phone
(646) 785-0788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

8 The GRN
Dover, DE 19901-3618

Mailing address

9100 S Dadeland Blvd Ste 1500
Miami, FL 33156-7816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1154169613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 S DADELAND BLVD STE 1500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THE GRN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "646-785-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMOTE RAD TECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "CIPRIANO DA FONSECA LANES",
        "authorized_official_first_name": "FLAVIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-785-0788"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.