Active NPI
Presgar Imaging of Cmi South LC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Miami, FL
National Provider Identifier
1497732788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- HCC7367
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470001596 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Central Magnetic Imaging South
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040224000745 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1355237637 | Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Coral Gables, FL
- NPI 1760583561
-
- Specialist
- Boynton Beach, FL
- NPI 1417901257
-
- Diagnostic Radiology Physician
- Irvine, CA
- NPI 1689652653
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.