Organization Active NPI

Summit Radiology LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1447420914
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
ME80354 Issued in FL
Legal business name
SUMMIT RADIOLOGY LLC
Practice address
2050 NE 163Rd Street Suite #103
North Miami Beach, FL 33162
Phone
(305) 940-1616
Fax
(305) 940-1618
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Ms. Nancy Johanna Cuestas
Title
Administrator
Phone
(786) 216-5739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X ME80354 FL Primary

Addresses

Primary practice location

2050 NE 163Rd Street Suite #103
North Miami Beach, FL 33162

Mailing address

2050 NE 163Rd St Ste 103
North Miami Beach, FL 33162-4904
Phone (305) 940-1616

National Provider Directory

National Provider Directory

Locations

2050 NE 163rd St
Ste 103
North Miami Beach, FL 33162
Phone (305) 940-1616

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1447420914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NE 163RD ST STE 103",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624904",
            "telephone_number": "305-940-1616",
            "fax_number": "305-940-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NE 163RD STREET SUITE #103",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-940-1616",
            "fax_number": "305-940-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CUESTAS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-216-5739",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "ME80354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.