Organization Active NPI

Fountain Imaging of North Miami Beach,LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1457417156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC7170 Issued in FL
Legal business name
FOUNTAIN IMAGING OF NORTH MIAMI BEACH,LLC
Doing business as
FOUNTAIN IMAGING
Practice address
1 NE 167TH St
North Miami Beach, FL 33162-3402
Phone
(305) 770-4343
Fax
(305) 770-4373
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Kristi Lynn Hebert
Title
Administrator
Phone
(305) 770-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC7170 FL Primary

Addresses

Primary practice location

1 NE 167TH St
North Miami Beach, FL 33162-3402

Mailing address

1 NE 167TH St
North Miami Beach, FL 33162-3402
Phone (305) 770-4343

Other names 1

  • FOUNTAIN IMAGING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457417156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-770-4343",
            "fax_number": "305-770-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-770-4343",
            "fax_number": "305-770-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN IMAGING OF NORTH MIAMI BEACH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-770-4343",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.