West Boynton Beach Open Imaging Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WEST BOYNTON BEACH OPEN IMAGING CENTER LLC

Practice address

10151 Enterprise Center Blvd
Suite 109
Boynton Beach, FL 33437-3759

Phone

(561) 752-5050

Fax

(561) 364-5606

NPI assigned

Feb 12, 2008

Last updated

Feb 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lavelle R Hardin

Title

Coordinator

Phone

(615) 344-8203

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266624000000",
    "number": "1477721405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD",
            "address_2": "SUITE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-752-5050",
            "fax_number": "561-346-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD",
            "address_2": "SUITE 109",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-752-5050",
            "fax_number": "561-364-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BOYNTON BEACH OPEN IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2010-02-20",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "615-344-8203"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000260600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V3267",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Weller, MA CCC-SLP
• Wellness America
• Wellness America LLC
• Allen Wendt, M.D.
• West Boynton Beach Open Imaging Center LLC
• West Boynton Urgent Care, LLC
• West Coast Dental Partners
• Tenesha West, BCBA
• Nakia M Wetherington
• Aryn Wexler, B.ED, PSYM, MHC

• Radiology Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.