NPIMap

Organization Active NPI

Imaging Center of West Palm Beach LLC

Doing business as Imaging Center of Boynton Beach

  • Radiology Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1396974705
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
IMAGING CENTER OF WEST PALM BEACH LLC
Doing business as
Imaging Center of Boynton Beach
Practice address
2015 Ocean Drive
Suite 4
Boynton Beach, FL 33426
Phone
(561) 364-7544
Fax
(561) 364-7545
NPI assigned
Jul 7, 2009
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Dr. Richard Sarner
Title
Chief Operating Officer
Phone
(561) 766-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

2015 Ocean Drive
Suite 4
Boynton Beach, FL 33426

Mailing address

2450 Metrocentre Blvd
West Palm Beach, FL 33407-3105
Phone (561) 684-9020

Other names 1

  • IMAGING CENTER OF BOYNTON BEACH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110830000009 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931007663 Practice locations: Boynton Beach, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2039823Imaging Center of Boynton Beach2015 Ocean Dr Ste 4, Boynton Beach, FL 33426Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Advanced Diagnostic Group Port St Lucie5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1396974705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 METROCENTRE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073105",
            "telephone_number": "561-684-9020",
            "fax_number": "561-684-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DRIVE",
            "address_2": "SUITE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-364-7544",
            "fax_number": "561-364-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER OF WEST PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "SARNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "561-766-1301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGING CENTER OF BOYNTON BEACH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMAGING CENTER OF BOYNTON BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.