Organization Active NPI

Pro Imaging Inc

  • Radiology Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1366634735
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
Legal business name
PRO IMAGING INC
Practice address
600 Sandtree Dr
Suite #203 B
Palm Beach Gardens, FL 33403-1597
Phone
(561) 624-6170
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Susan M. Hyde
Title
President
Phone
(561) 624-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X Primary

Addresses

Primary practice location

600 Sandtree Dr
Suite #203 B
Palm Beach Gardens, FL 33403-1597

Mailing address

600 Sandtree Dr
Suite #203 B
Palm Beach Gardens, FL 33403-1597
Phone (561) 624-6170

Other identifiers 1

IdentifierTypeStateIssuer
70117OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

600 Sandtree Dr
Ste 203B
Palm Beach Gardens, FL 33403
Phone (561) 624-6170

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1366634735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR",
            "address_2": "SUITE #203 B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031597",
            "telephone_number": "561-624-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SANDTREE DR",
            "address_2": "SUITE #203 B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031597",
            "telephone_number": "561-624-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-6170"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.