NPIMap

Organization Active NPI

Plantation Open MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1467962209
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC8364 Issued in FL
Legal business name
PLANTATION OPEN MRI, LLC
Doing business as
POM MRI & IMAGING CENTER OF FORT LAUDERDALE
Practice address
4331 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-5252
Phone
(754) 208-3310
NPI assigned
Oct 6, 2017
Organization subpart
Yes
Parent organization
PLANTATION OPEN MRI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Barbara Domino
Title
Administrator
Phone
(754) 208-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC8364 FL Primary

Addresses

Primary practice location

4331 N Federal Hwy Ste 200
Fort Lauderdale, FL 33308-5252

Mailing address

11011 Sheridan St Ste 101
Hollywood, FL 33026-1501
Phone (754) 208-3310

Other names 1

  • POM MRI & IMAGING CENTER OF FORT LAUDERDALE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Plantation Open MRI LLC3 organizations share this tax ID, including this one
Part of
Plantation Open MRI LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1467962209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261501",
            "telephone_number": "754-208-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 N FEDERAL HWY STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085252",
            "telephone_number": "754-208-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION OPEN MRI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANTATION OPEN MRI, LLC",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "DOMINO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "754-208-3310"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC8364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POM MRI & IMAGING CENTER OF FORT LAUDERDALE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.