NPIMap

Organization Active NPI

Independent Imaging LLC

  • Radiology Clinic/Center
  • Royal Palm Beach, FL
National Provider Identifier
1174989255
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
INDEPENDENT IMAGING LLC
Practice address
11551 Southern Blvd
Suite 1
Royal Palm Beach, FL 33411-4254
Phone
(561) 766-1300
Fax
(561) 693-0539
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Arthur Hansen, DPM
Title
Owner
Phone
(561) 766-1300

Specialties & licenses 1

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

Addresses

Primary practice location

11551 Southern Blvd
Suite 1
Royal Palm Beach, FL 33411-4254

Mailing address

PO Box 1313
Loxahatchee, FL 33470-1313
Phone (561) 766-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050817000898 FL Part B Supplier - Clinic/Group Practice 4587694716 Receives reassigned benefits from 40 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Belle Glade, FL; Wellington, FL; Lake Worth, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5051 S Congress Ave
Ste A
Lake Worth, FL 33461
Phone (561) 795-5558

11337 Okeechobee Blvd
Ste A
Royal Palm Beach, FL 33411
Phone (561) 790-0484

11551 Southern Blvd
Ste 1
Royal Palm Beach, FL 33411
Phone (561) 333-3330

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1174989255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334701313",
            "telephone_number": "561-766-1300",
            "fax_number": "561-693-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 SOUTHERN BLVD",
            "address_2": "SUITE 1",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114254",
            "telephone_number": "561-766-1300",
            "fax_number": "561-693-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-766-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.