NPIMap

Organization Active NPI

P,E,T. CT & MRI of Miami, LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1225486848
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC8124 Issued in FL
Legal business name
P,E,T. CT & MRI OF MIAMI, LLC
Practice address
12905 SW 42ND St
Suite 106
Miami, FL 33175-2905
Phone
(305) 229-2020
Fax
(305) 229-2218
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Keila Hoover
Title
President
Phone
(305) 458-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC8124 FL Primary

Addresses

Primary practice location

12905 SW 42ND St
Suite 106
Miami, FL 33175-2905

Mailing address

12905 SW 42ND St
Suite 106
Miami, FL 33175-2905
Phone (305) 229-2020

Other identifiers 1

IdentifierTypeStateIssuer
003567600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Pet CT MRI of Miami LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1225486848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752905",
            "telephone_number": "305-229-2020",
            "fax_number": "305-229-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12905 SW 42ND ST",
            "address_2": "SUITE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752905",
            "telephone_number": "305-229-2020",
            "fax_number": "305-229-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P,E,T. CT & MRI OF MIAMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-458-0211"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC8124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003567600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.