NPIMap

Organization Active NPI

Pembroke Pink Imaging LLC

  • Diagnostic Radiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1225454424
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PEMBROKE PINK IMAGING LLC
Practice address
15735 Pines Blvd
Pembroke Pines, FL 33027-1207
Phone
(305) 740-5100
NPI assigned
Mar 12, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
VITALMD GROUP HOLDINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Mrs. Patricia Varona
Title
Director
Phone
(305) 740-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

15735 Pines Blvd
Pembroke Pines, FL 33027-1207

Mailing address

15735 Pines Blvd
Pembroke Pines, FL 33027-1207
Phone (305) 740-5100

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Center for Women LLC11 organizations share this tax ID, including this one
Part of
Diagnostic Center for Women LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1225454424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271207",
            "telephone_number": "305-740-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15735 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271207",
            "telephone_number": "305-740-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE PINK IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VITALMD GROUP HOLDING",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "VARONA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-740-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.