NPIMap

Organization Active NPI

MRI Scan Center LLC

  • Radiology Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1235237355
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
2790004383 Issued in FL
Legal business name
MRI SCAN CENTER LLC
Practice address
3122 E Commercial Blvd
Fort Lauderdale, FL 33308-4327
Phone
(954) 772-8000
Fax
(954) 776-6356
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Laura Kassa, RT (R)(CT)(MR)
Title
Compliance Officer
Phone
(904) 640-9129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 2790004383 FL Primary

Addresses

Primary practice location

3122 E Commercial Blvd
Fort Lauderdale, FL 33308-4327

Mailing address

3122 E Commercial Blvd
Fort Lauderdale, FL 33308-4327
Phone (954) 772-8000

Other practice location 1

5405 Okeechobee Blvd Ste 101
West Palm Beach, FL 33417-4544
Phone (561) 771-0140

Other identifiers 4

IdentifierTypeStateIssuer
064231200MedicaidFL
007283OtherFLAVMED
V2442OtherFLBC/BS
SG070906OtherFLVISTA

Other names 1

  • MRI Scan & Imaging Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000498 FL Part B Supplier - Clinic/Group Practice 0345327037 Receives reassigned benefits from 9 practitioners
Practice locations: Fort Lauderdale, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

5301 N Dixie Hwy
#101
Oakland Park, FL 33334
Phone (954) 772-8000

8395 W Oakland Park Blvd
Ste C
Sunrise, FL 33351
Phone (561) 404-1422

5405 Okeechobee Blvd
Ste 101
West Palm Beach, FL 33417
Phone (561) 697-3001

Practitioners & affiliated clinicians

Practitioners 9

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1235237355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "954-772-8000",
            "fax_number": "954-776-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "954-772-8000",
            "fax_number": "954-776-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Okeechobee Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334174544",
            "country_code": "US",
            "telephone_number": "561-771-0140",
            "fax_number": "561-725-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MRI SCAN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "904-640-9129",
        "authorized_official_credential": "RT (R)(CT)(MR)"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "2790004383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064231200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "007283",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V2442",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "SG070906",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Scan & Imaging Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.