NPIMap

Organization Active NPI

Naples Diagnostic Imaging Center LTD

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1609868447
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NAPLES DIAGNOSTIC IMAGING CENTER LTD
Practice address
1715 Medical Blvd
Naples, FL 34110-1402
Phone
(239) 593-4200
NPI assigned
Aug 18, 2005
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Mr. Jim Bates
Title
Coo
Phone
(239) 262-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1715 Medical Blvd
Naples, FL 34110-1402

Mailing address

PO Box 1406
Indianapolis, IN 46206-1406
Phone (888) 656-6020

Other identifiers 2

IdentifierTypeStateIssuer
CA8319OtherFLRR MEDICARE
060729100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1609868447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061406",
            "telephone_number": "888-656-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 MEDICAL BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101402",
            "telephone_number": "239-593-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES DIAGNOSTIC IMAGING CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-262-2708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA8319",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060729100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.