Organization Active NPI

Optimum Imaging Diagnostics, Corp.

  • Mobile Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1578503389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
HCC6608 Issued in FL
Legal business name
OPTIMUM IMAGING DIAGNOSTICS, CORP.
Practice address
9745 SW 72ND St
Suite#222
Miami, FL 33173-4652
Phone
(305) 412-8329
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Maricela J Carmona
Title
President
Phone
(305) 412-8329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X HCC6608 FL Primary

Addresses

Primary practice location

9745 SW 72ND St
Suite#222
Miami, FL 33173-4652

Mailing address

9745 SW 72ND St
Suite#222
Miami, FL 33173-4652
Phone (305) 412-8329

National Provider Directory

National Provider Directory

Locations

9745 SW 72nd St
Ste 222
Miami, FL 33173
Phone (305) 412-8329

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578503389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SW 72ND ST",
            "address_2": "SUITE#222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734652",
            "telephone_number": "305-412-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 SW 72ND ST",
            "address_2": "SUITE#222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734652",
            "telephone_number": "305-412-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM IMAGING DIAGNOSTICS, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-412-8329",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "HCC6608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.