Quantum Imaging Holdings, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

OS9851 Issued in FL

Legal business name

QUANTUM IMAGING HOLDINGS, LLC

Doing business as

Quantum Imaging

Practice address

2221 N University Dr
Suite a
Pembroke Pines, FL 33024-3603

Phone

(954) 985-6490

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven Adam Burack, M.D.

Title

Owner

Phone

(954) 985-6490

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QUANTUM IMAGING Doing business as

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1174757082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 N UNIVERSITY DR",
            "address_2": "SUITE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243603",
            "telephone_number": "954-985-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 N UNIVERSITY DR",
            "address_2": "SUITE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243603",
            "telephone_number": "954-985-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM IMAGING HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "BURACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-985-6490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "OS9851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS9851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUANTUM IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.