Pines Imaging Center LLC

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

PINES IMAGING CENTER LLC

Practice address

9696 Pines Blvd
Pembroke Pines, FL 33024-6246

Phone

(954) 530-8824

Fax

(954) 530-8819

NPI assigned

Sep 16, 2016

Organization subpart

No

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

Authorized official

Name

Brian Chan-a-Sue

Title

GM

Phone

(954) 530-8824

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1598213746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9696 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246246",
            "telephone_number": "954-530-8824",
            "fax_number": "954-530-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246246",
            "telephone_number": "954-530-8824",
            "fax_number": "954-530-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "CHAN-A-SUE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "954-530-8824"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION NUMBER",
            "identifier": "G16000010749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pines Lymphatic Center LLC
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• Pines Medical Clinic (Pines Medical Clinic Inc)
• Pines Medical Services Inc

• Magnetic Resonance Imaging Radiologic Technologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.