A1 Imaging of Kissimmee LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

HCC7759 Issued in FL

Legal business name

A1 IMAGING OF KISSIMMEE LLC

Practice address

810 N John Young Pkwy
Kissimmee, FL 34741-4912

Phone

(407) 847-6745

Fax

(407) 847-8749

NPI assigned

Jan 30, 2009

Organization subpart

Yes

Parent organization

A1 IMAGING CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Marilyn Radakovic

Title

Coo

Phone

(951) 315-6661

Specialties & licenses 1

Addresses

Other names 1

• A1 IMAGING OF KISSIMMEE Doing business as

Part of

A1 Imaging Centers LLC

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1386882272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N TAMIAMI TRAIL",
            "address_2": "SUITE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365574",
            "telephone_number": "941-925-3490",
            "fax_number": "941-953-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414912",
            "telephone_number": "407-847-6745",
            "fax_number": "407-847-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 IMAGING OF KISSIMMEE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A1 IMAGING CENTERS LLC",
        "enumeration_date": "2009-01-30",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "RADAKOVIC",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-315-6661"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC7759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 IMAGING OF KISSIMMEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.