Concept Imaging, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

ME94252 Issued in FL

Legal business name

CONCEPT IMAGING, LLC

Practice address

3889 Military TRL
Suite 101
Jupiter, FL 33458-2923

Phone

(567) 932-0995

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Mazin Shikara, M.D.

Title

President

Phone

(561) 779-1652

Specialties & licenses 2

Addresses

Tax ID family

Concept Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medi-Fast Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Port St Lucie, FL
  • NPI 1851676472
  NPD tax ID

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1306389317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3889 MILITARY TRL STE 105",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582923",
            "telephone_number": "567-932-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 MILITARY TRL",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582923",
            "telephone_number": "567-932-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-779-1652",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "ME94252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle E Compaine, APRN
• Comprehensive Foot & Ankle Surgery PLLC
• Comprehensive Hand & Physical
• Comprehensive Hand & Physical
• Comsol, Inc.
• Concierge Internal Medicine Associates
• Concierge Medicine of Jupiter Inc.
• Stephanie Conklin
• Jon Connelly, JON CONNELLY
• Sheila Ann Connerton, PTA

• Mobile Radiology Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.