Belleview Imaging Center, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC8771 Issued in FL

Legal business name

BELLEVIEW IMAGING CENTER, LLC

Practice address

10762 SE US Hwy 441
Belleview, FL 34420-3805

Phone

(352) 347-5225

Fax

(352) 347-1073

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Crimi Jr., P.A.

Title

Managing Member / Owner

Phone

(352) 427-8680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Belleview Imaging Center, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Belleview Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1649225715

  O20080423000221

  Same enrollment

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1295781698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10762 SE US HWY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10762 SE US HWY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5925 SE Abshier Blvd",
            "address_purpose": "LOCATION",
            "city": "Belleview",
            "state": "FL",
            "postal_code": "344204025",
            "country_code": "US",
            "telephone_number": "352-427-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BELLEVIEW IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "CRIMI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER / OWNER",
        "authorized_official_telephone_number": "352-427-8680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC8771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265314100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belleview Imaging Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Belleview Imaging Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Belleview Community Pharmacy
• Belleview Dental Center, Inc
• Kaitlyn Jasmine Nicole Bennett
• Ma Analyn Bernasol
• Shaimir Berrios Rodriguez
• Zane Bhaiji
• Susan E. Bonenclark, PA-C

• Diagnostic Radiology Physician in Belleview, FL
• Providers in Belleview, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.