Premier Diagnostic Imaging Services LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PREMIER DIAGNOSTIC IMAGING SERVICES LLC

Practice address

3595 W 20TH Ave
Suite 145
Hialeah, FL 33012-4533

Phone

(305) 820-1455

Fax

(305) 820-1485

NPI assigned

Sep 22, 2006

Last updated

Oct 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raul E Meneses

Title

President

Phone

(305) 467-4448

Specialties & licenses 1

Addresses

Other identifiers 12

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191715200000",
    "number": "1215036421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 W 20TH AVE",
            "address_2": "SUITE 145",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124533",
            "telephone_number": "305-820-1455",
            "fax_number": "305-820-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 W 20TH AVE",
            "address_2": "SUITE 145",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124533",
            "telephone_number": "305-820-1455",
            "fax_number": "305-820-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTIC IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-10-07",
        "status": "A",
        "authorized_official_last_name": "MENESES",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-467-4448"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "375394",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "375394",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA CLINIC LICENSE",
            "identifier": "HCC7443",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "306480",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "5899",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS",
            "identifier": "58201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA/SUMMIT",
            "identifier": "SG 082986",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1057548",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA CERTIFIED MAMMOGRAPHY",
            "identifier": "237861",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "375394",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUNCOAST HEALTH PLANS",
            "identifier": "7027683",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "7051871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preferred Care Partners Medical Group, Inc. (Preferred Care Partners Medical Group of West Hialeah)
• Preferred Therapy Services Corp
• Preferred Therapy SVCS
• Premier Care Associates LLC
• Premier Care Associates, LLC
• Premier Diagnostic Testing LLC
• Premier Group Health Center LLC
• Premier Home Health Systems Inc.
• Premier Kare Associates
• Premier Med-Clinic Inc

• Radiology Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2007; 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.