Sandestin Radiology Services, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SANDESTIN RADIOLOGY SERVICES, LLC

Practice address

400 Audubon Dr
Miramar Beach, FL 32550-4594

Phone

(850) 267-6767

NPI assigned

Mar 26, 2014

Organization subpart

Yes

Parent organization

SANDESTIN URGENT CARE, LLCAs reported in NPPES

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

Authorized official

Name

Angel Barber

Title

Administrator

Phone

(850) 267-6767

Specialties & licenses 1

Addresses

Part of

Sandestin Urgent Care LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sandestin Urgent Care, LLC

  • Clinic/Center
  • Miramar Beach, FL
  • NPI 1922341817
  NPPES parent name

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1427475664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325413338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUDUBON DR",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325504594",
            "telephone_number": "850-267-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDESTIN RADIOLOGY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDESTIN URGENT CARE, LLC",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-267-6767"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond K Safarian, MD
• Sandestin Apothecary Service, LLC
• Sandestin Clinical Services, LLC
• Sandestin Lab Services, LLC
• Sandestin Physical Therapy Services, LLC
• Sandestin Urgent Care, LLC
• Santa Rosa Wellness Spa, P.a.
• Miguel Enrique Santana Herrera, MD
• Julie M Sayers, P.A.-C
• Megan Ann Schenck

• Radiology Clinic/Center in Miramar Beach, FL
• Providers in Miramar 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 Mar 26, 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.