NPIMap

Organization Active NPI

Imed Diagnostic Services of Southeast Florida LLC

  • Radiology Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1497820948
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC7491 Issued in FL
Legal business name
IMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC
Practice address
8903 Glades Rd
Suite B1
Boca Raton, FL 33434-4074
Phone
(561) 218-9011
Fax
(561) 218-9012
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mr. Alan Sternberg
Title
Managing Partner
Phone
(561) 218-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC7491 FL Primary

Addresses

Primary practice location

8903 Glades Rd
Suite B1
Boca Raton, FL 33434-4074

Mailing address

8903 Glades Rd
Suite B1
Boca Raton, FL 33434-4074
Phone (561) 218-9011

Other identifiers 1

IdentifierTypeStateIssuer
V2949OtherFLBLUECROSS BLUESHIELD

Other names 1

  • InMed Diagnostic Services of Southeast Florida LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

8903 Glades Rd
Ste A8
Boca Raton, FL 33434
Phone (561) 218-9011

Practitioners & affiliated clinicians

Practitioners 7

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1497820948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD",
            "address_2": "SUITE B1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344074",
            "telephone_number": "561-218-9011",
            "fax_number": "561-218-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD",
            "address_2": "SUITE B1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344074",
            "telephone_number": "561-218-9011",
            "fax_number": "561-218-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED DIAGNOSTIC SERVICES OF SOUTHEAST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-218-9011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC7491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "V2949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InMed Diagnostic Services of Southeast Florida LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.