Organization Active NPI

Physicians Imaging Center LLC

  • Radiology Clinic/Center
  • Stuart, FL
National Provider Identifier
1285773176
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PHYSICIANS IMAGING CENTER LLC
Practice address
1050 SE Monterey Road
Suite #102
Stuart, FL 34994
Phone
(772) 220-9700
Fax
(772) 463-4034
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Yonas Zegeye, MD
Title
Owner
Phone
(772) 463-4033

Specialties & licenses 1

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

Addresses

Primary practice location

1050 SE Monterey Road
Suite #102
Stuart, FL 34994

Mailing address

1050 SE Monterey Road
Suite #102
Stuart, FL 34994
Phone (772) 220-9700

Other identifiers 1

IdentifierTypeStateIssuer
V3272OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1285773176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY ROAD",
            "address_2": "SUITE #102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-220-9700",
            "fax_number": "772-463-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY ROAD",
            "address_2": "SUITE #102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-220-9700",
            "fax_number": "772-463-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "ZEGEYE",
        "authorized_official_first_name": "YONAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-463-4033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V3272",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.