Organization Active NPI

Imed Diagnostic Services of Bonita Springs LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1215070776
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
PENDING Issued in FL
Legal business name
IMED DIAGNOSTIC SERVICES OF BONITA SPRINGS LLC
Practice address
9400 Bonita Beach Rd SE
Suite 201
Bonita Springs, FL 34135-4515
Phone
(239) 597-5530
Fax
(239) 597-7825
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Alan B Sternberg
Title
Ceo President
Phone
(239) 597-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X PENDING FL Primary

Addresses

Primary practice location

9400 Bonita Beach Rd SE
Suite 201
Bonita Springs, FL 34135-4515

Mailing address

9400 Bonita Beach Rd SE
Suite 201
Bonita Springs, FL 34135-4515
Phone (239) 597-5530

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherFLSTATE LICENSURE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1215070776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BONITA BEACH RD SE",
            "address_2": "SUITE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354515",
            "telephone_number": "239-597-5530",
            "fax_number": "239-597-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BONITA BEACH RD SE",
            "address_2": "SUITE 201",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354515",
            "telephone_number": "239-597-5530",
            "fax_number": "239-597-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED DIAGNOSTIC SERVICES OF BONITA SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "239-597-5530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.