Oakland Park MRI Inc

Primary specialty

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

Legal business name

OAKLAND PARK MRI INC

Doing business as

dpi of ft lauderdale

Practice address

1799 W Oakland Park Blvd
Suite 105
Oakland Park, FL 33311-1537

Phone

(954) 566-4551

Fax

(954) 566-4565

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Howard Stephan Dekkers

Title

Ceo

Phone

(954) 566-4551

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• dpi of ft lauderdale Doing business as

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1184659864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5084",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333105084",
            "telephone_number": "954-566-4551",
            "fax_number": "954-566-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 W OAKLAND PARK BLVD",
            "address_2": "SUITE 105",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111537",
            "telephone_number": "954-566-4551",
            "fax_number": "954-566-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PARK MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "DEKKERS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-566-4551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2866",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3860891",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dpi of ft lauderdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, 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 13, 2008; 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.