Independent Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

INDEPENDENT IMAGING, LLC

Practice address

701 S Main St
Belle Glade, FL 33430-4201

Phone

(561) 795-5558

Fax

(561) 792-7300

NPI assigned

Aug 27, 2015

Last updated

Sep 10, 2015By 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

Jorge Daniel Ghiragossian

Title

Ceo

Phone

(561) 766-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Independent Imaging LLC

  • Radiology Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1174989255

  O20050817000898

  Same enrollment
• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1013908912

  O20050817000898

  Same enrollment
• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Lake Worth, FL
  • NPI 1629406293

  O20050817000898

  Same enrollment
• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1790113363

  O20050817000898

  Same enrollment

Tax ID family

Independent Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Lake Worth, FL
  • NPI 1629406293
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel S Eidelman, M.D.

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1518941012
  NPD
• Christina Adel Michael, MD

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1346409463
  NPD
• Sandra L Mondro, M.D.

  • Diagnostic Radiology Physician
  • Jupiter, FL
  • NPI 1013969294
  NPD
• Tobia A Palma, M.D.

  • Cardiovascular Disease Physician
  • Palm Beach Gardens, FL
  • NPI 1578507992
  NPD
• Roger Ramos, M.D.

  • Therapeutic Radiology Physician
  • Atlantis, FL
  • NPI 1942276506
  NPD
• Binor Berihu Said, MD

  • Diagnostic Radiology Physician
  • Loxahatchee, FL
  • NPI 1952359697
  NPD
• Mark Douglas Novick, M.D.

  • Diagnostic Radiology Physician
  • Nyc, NY
  • NPI 1225089428
  NPD

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1508233487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334701313",
            "telephone_number": "561-795-5558",
            "fax_number": "561-792-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "BELLE GLADE",
            "state": "FL",
            "postal_code": "334304201",
            "telephone_number": "561-795-5558",
            "fax_number": "561-792-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "GHIRAGOSSIAN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-766-1300"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Hughes, ARNP
• I Care Community Connections LLC
• Juan Jose Ibietatorremendia, RPH
• Yousef Idies, MD
• Arlene Rue Imhoff, P.T.
• Edner Joseph Jean-Jacques, M.D
• Mona Jean
• Jessica Jeune
• Omar G Jimenez, MD
• Robin McCoy Johnson

• Radiology Clinic/Center in Belle Glade, FL
• Providers in Belle Glade, 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 Sep 10, 2015; 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.