Medvue Diagnostic Imaging Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDVUE DIAGNOSTIC IMAGING INC

Doing business as

Bluewater Radiology Centers

Practice address

5601 Corporate Way Ste 307
West Palm Beach, FL 33407-2043

Phone

(561) 686-0506

Fax

(561) 687-5601

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Peggy Mullen

Title

Practice Administrator

Phone

(561) 686-0506

Specialties & licenses 1

Addresses

Other names 1

• Bluewater Radiology Centers Doing business as

Locations

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1316572993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 CORPORATE WAY STE 307",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072043",
            "telephone_number": "561-686-0506",
            "fax_number": "561-687-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 CORPORATE WAY STE 307",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072043",
            "telephone_number": "561-686-0506",
            "fax_number": "561-687-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3795 W Boynton Beach Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334364502",
            "country_code": "US",
            "telephone_number": "561-686-0506",
            "fax_number": "561-687-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDVUE DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-686-0506"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluewater Radiology Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in West Palm Beach, FL
• Providers in West Palm Beach, 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 Aug 25, 2020; 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.