Westcoast Diagnostic Imaging Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0058418 Issued in FL

Legal business name

WESTCOAST DIAGNOSTIC IMAGING CENTER INC

Practice address

410 N Main St
Suite 1
Chiefland, FL 32626-1100

Phone

(352) 369-0770

Fax

(352) 369-0772

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beatriz L Catral, M.D.

Title

Medical Director

Phone

(352) 369-0770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1407041957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE",
            "address_2": "SUITE 102",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-774-5211",
            "fax_number": "386-774-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261100",
            "telephone_number": "352-369-0770",
            "fax_number": "352-369-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCOAST DIAGNOSTIC IMAGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "CATRAL",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-369-0770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chiefland, FL
• Providers in Chiefland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.