NPIMap

Organization Active NPI

Plantation Open MRI LLC

Doing business as Pom MRI & Imaging Center of Plantation

  • Magnetic Resonance Imaging Radiologic Technologist
  • Plantation, FL
National Provider Identifier
1578592697
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
CRT 39320 Issued in FL
Legal business name
PLANTATION OPEN MRI LLC
Doing business as
Pom MRI & Imaging Center of Plantation
Practice address
4373 W Sunrise Blvd
Plantation, FL 33313-6749
Phone
(954) 318-0551
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Mr. Andrew Michael Byers
Title
Owner President
Phone
(954) 318-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X CRT 39320 FL Primary

Addresses

Primary practice location

4373 W Sunrise Blvd
Plantation, FL 33313-6749

Mailing address

4373 W Sunrise Blvd
Plantation, FL 33313-6749
Phone (954) 318-0551

Other names 1

  • POM MRI & IMAGING CENTER OF PLANTATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060919000279 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3971508326 Practice locations: Plantation, FL

National Provider Directory

National Provider Directory
Tax ID family
Plantation Open MRI LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2800 N State Road 7
Ste 103
Margate, FL 33063
Phone (954) 239-7466

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1578592697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136749",
            "telephone_number": "954-318-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136749",
            "telephone_number": "954-318-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-318-0551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "FL",
            "license": "CRT 39320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POM MRI & IMAGING CENTER OF PLANTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.