Iconic Imaging, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

ICONIC IMAGING, INC.

Practice address

150 SW 12TH Ave Ste 101B
Pompano Beach, FL 33069-3298

Phone

(954) 773-9598

Fax

(954) 773-9588

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Sagi ShakedNPI 1669876728

Title

President

Phone

(954) 773-9598

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sagi Shaked

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Pompano Beach, FL
  • NPI 1669876728
  NPD (past) Authorized official

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1346645033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SE 1ST AVE STE B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097102",
            "telephone_number": "954-773-9598",
            "fax_number": "954-773-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE STE 101B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-773-9598",
            "fax_number": "954-773-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICONIC IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "SHAKED",
        "authorized_official_first_name": "SAGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-773-9598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ibarrondo
• Tamara Ibrahimova, SLP
• Ican Benefit Group
• Icom Pompano Beach LLC
• Icomply Testing Solutions
• Ideal Dental Pompano Beach PLLC
• Gregory Chadwick Idell, P.T.
• Ihelp Transportation LLC
• Donna Ikemire-Krumsiek, BA
• Ikon Pharmaceuticals LLC

• Radiology Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.