Organization Active NPI

Neuro Imaging Institute, Inc

Doing business as Neuro Imaging Institute I

  • Physiological Laboratory
  • Melbourne, FL
National Provider Identifier
1467402818
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEURO IMAGING INSTITUTE, INC
Doing business as
Neuro Imaging Institute I
Practice address
27 E Hibiscus Blvd
Melbourne, FL 32901-3171
Phone
(321) 952-7300
Fax
(321) 729-0391
NPI assigned
May 10, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Donna L Burch
Title
Credentialing Specialist
Phone
(866) 685-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

27 E Hibiscus Blvd
Melbourne, FL 32901-3171

Mailing address

27 E Hibiscus Blvd
Melbourne, FL 32901-3171
Phone (321) 952-7300

Other names 1

  • Neuro Imaging Institute I Doing business as

National Provider Directory

National Provider Directory

Locations

27 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 308-0868

27 E Hibiscus Blvd
Ste A
Melbourne, FL 32901
Phone (321) 952-7300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1467402818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013171",
            "telephone_number": "321-952-7300",
            "fax_number": "321-729-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013171",
            "telephone_number": "321-952-7300",
            "fax_number": "321-729-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO IMAGING INSTITUTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "866-685-5001"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Imaging Institute I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.