Organization Active NPI

Madrid, LLC

Doing business as Florida Open MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tamarac, FL
National Provider Identifier
1477725893
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC5165 Issued in FL
Legal business name
MADRID, LLC
Doing business as
Florida Open MRI
Practice address
7201 N Pine Island Rd
Tamarac, FL 33321-2517
Phone
(954) 720-0903
Fax
(954) 720-4583
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Mr. Miroslav Jaksic
Title
Managing Partner
Phone
(810) 623-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC5165 FL Primary

Addresses

Primary practice location

7201 N Pine Island Rd
Tamarac, FL 33321-2517

Mailing address

7201 N Pine Island Rd
Tamarac, FL 33321-2517
Phone (954) 720-0903

Other names 1

  • Florida Open MRI 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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1477725893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212517",
            "telephone_number": "954-720-0903",
            "fax_number": "954-720-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 N PINE ISLAND RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212517",
            "telephone_number": "954-720-0903",
            "fax_number": "954-720-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRID, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "JAKSIC",
        "authorized_official_first_name": "MIROSLAV",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "810-623-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.