Organization Active NPI

Presgar Imaging of Cmi South LC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Miami, FL
National Provider Identifier
1497732788
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC7367 Issued in FL
Legal business name
PRESGAR IMAGING OF CMI SOUTH LC
Practice address
4860 SW 72ND Ave
Miami, FL 33155-5526
Phone
(305) 663-2800
Fax
(305) 662-3881
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Richard Thorpe
Title
Director of Operations/Owner
Phone
(727) 342-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC7367 FL Primary

Addresses

Primary practice location

4860 SW 72ND Ave
Miami, FL 33155-5526

Mailing address

PO Box 1505
Pinellas Park, FL 33780-1505
Phone (727) 342-2363

Other identifiers 1

IdentifierTypeStateIssuer
470001596OtherFLRAILROAD MEDICARE

Other names 1

  • Central Magnetic Imaging South Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000745 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1355237637 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

4860 SW 72nd Ave
Miami, FL 33155
Phone (305) 663-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1497732788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337801505",
            "telephone_number": "727-342-2363",
            "fax_number": "727-342-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555526",
            "telephone_number": "305-663-2800",
            "fax_number": "305-662-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESGAR IMAGING OF CMI SOUTH LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/OWNER",
        "authorized_official_telephone_number": "727-342-2363"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC7367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "470001596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Magnetic Imaging South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.