NPIMap

Organization Active NPI

Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1578069100
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
IMAGING CENTER OF WEST PALM BEACH LLC
Practice address
7041 S US Highway 1
Port St Lucie, FL 34952-1429
Phone
(561) 684-9020
Fax
(561) 684-9060
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Richard Sarner, MD
Title
Co-Owner
Phone
(561) 684-9020

Specialties & licenses 1

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

Addresses

Primary practice location

7041 S US Highway 1
Port St Lucie, FL 34952-1429

Mailing address

2450 Metrocentre Blvd
West Palm Beach, FL 33407-3105
Phone (561) 684-9020

Other names 1

  • Advanced Diagnostic Group-Port St. Lucie Other name

National Provider Directory

National Provider Directory
Tax ID family
Advanced Diagnostic Group Port St Lucie5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1578069100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 METROCENTRE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073105",
            "telephone_number": "561-684-9020",
            "fax_number": "561-684-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521429",
            "telephone_number": "561-684-9020",
            "fax_number": "561-684-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER OF WEST PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "SARNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-684-9020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Diagnostic Group-Port St. Lucie",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.