Organization Active NPI

Sheridan-Pines MRI, LLC

  • Radiology Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1467053223
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SHERIDAN-PINES MRI, LLC
Practice address
6860 SW 195TH Ave
Ft Lauderdale, FL 33332-1656
Phone
(954) 369-4860
Fax
(954) 369-4865
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Jason Davis
Title
Director of Operations
Phone
(954) 797-6744

Specialties & licenses 1

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

Addresses

Primary practice location

6860 SW 195TH Ave
Ft Lauderdale, FL 33332-1656

Mailing address

6860 SW 195TH Ave
Ft Lauderdale, FL 33332-1656
Phone (954) 369-4860

National Provider Directory

National Provider Directory

Locations

6860 SW 195th Ave
Ft Lauderdale, FL 33332
Phone (954) 369-4860

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1467053223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 SW 195TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333321656",
            "telephone_number": "954-369-4860",
            "fax_number": "954-369-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 SW 195TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333321656",
            "telephone_number": "954-369-4860",
            "fax_number": "954-369-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN-PINES MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "954-797-6744"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.