Organization Active NPI

Stat Diagnostic Imaging Inc

Doing business as Doral Medical Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Doral, FL
National Provider Identifier
1174638860
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
STAT DIAGNOSTIC IMAGING INC
Doing business as
Doral Medical Imaging
Practice address
1701 NW 82ND Ave
Doral, FL 33126-1015
Phone
(305) 471-4581
Fax
(305) 471-4593
NPI assigned
Aug 20, 2006
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Daniel D Martinez
Title
President
Phone
(305) 471-4581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1701 NW 82ND Ave
Doral, FL 33126-1015

Mailing address

1701 NW 82ND Ave
Doral, FL 33126-1015
Phone (305) 471-4581

Other names 1

  • Doral Medical Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000573 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9032217112 Practice locations: Doral, FL

National Provider Directory

National Provider Directory

Locations

8181 NW 36th St
Ste 3
Doral, FL 33166
Phone (305) 471-4581

Networks

  • HealthSun Health Plans Network

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1174638860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261015",
            "telephone_number": "305-471-4581",
            "fax_number": "305-471-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NW 82ND AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261015",
            "telephone_number": "305-471-4581",
            "fax_number": "305-471-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-471-4581"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doral Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doral Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.