Pro Diagnostic Imaging Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PRO DIAGNOSTIC IMAGING INC

Practice address

2020 NE 163Rd Street
Suite 208C
N Miami Beach, FL 33162

Phone

(305) 940-6077

Fax

(305) 945-9856

NPI assigned

Aug 8, 2006

Last updated

Nov 3, 2008By 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

Mr. Erixon Anaya

Title

Company President

Phone

(305) 940-6077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1548270341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD STREET",
            "address_2": "SUITE 208C",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-940-6077",
            "fax_number": "305-945-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD STREET",
            "address_2": "SUITE 208C",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "33162",
            "telephone_number": "305-940-6077",
            "fax_number": "305-945-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "ERIXON",
        "authorized_official_title_or_position": "COMPANY PRESIDENT",
        "authorized_official_telephone_number": "305-940-6077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.