Organization Active NPI

Non-Invasive Diagnostic Imaging Service Corp

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1598806846
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NON-INVASIVE DIAGNOSTIC IMAGING SERVICE CORP
Practice address
13055 SW 42ND St
Suite 206
Miami, FL 33175-3406
Phone
(305) 412-0038
Fax
(305) 412-0038
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Jorge PerezNPI 1467669325
Title
President
Phone
(305) 559-1190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

13055 SW 42ND St
Suite 206
Miami, FL 33175-3406

Mailing address

13055 SW 42ND St
Suite 206
Miami, FL 33175-3406
Phone (305) 412-0038

Other identifiers 1

IdentifierTypeStateIssuer
376989500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1840 W 49th St
Ste 704
Hialeah, FL 33012
Phone (305) 828-6575

Practitioners & affiliated clinicians

Practitioners 1

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1598806846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753406",
            "telephone_number": "305-412-0038",
            "fax_number": "305-412-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753406",
            "telephone_number": "305-412-0038",
            "fax_number": "305-412-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-INVASIVE DIAGNOSTIC IMAGING SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-559-1190"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376989500",
            "state": "FL"
        }
    ],
    "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 Jul 8, 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.