Coral Way Diagnostic & Medical Services LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CORAL WAY DIAGNOSTIC & MEDICAL SERVICES LLC

Practice address

1333 Coral Way
Miami, FL 33145-2948

Phone

(305) 858-8988

Fax

(305) 541-6077

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dean M Young

Title

Manager LLC

Phone

(305) 858-8988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629159371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450676",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332450676",
            "telephone_number": "305-858-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452948",
            "telephone_number": "305-858-8988",
            "fax_number": "305-541-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL WAY DIAGNOSTIC & MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER LLC",
        "authorized_official_telephone_number": "305-858-8988"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Villa Adult Care Inc
• Coral Villa Adult Care Inc
• Coral Villa II Corp
• Coral Way Dental Associates Inc
• Coral Way Dental Center Inc
• Coral Way Diagnostic Services
• Coral Way Health Center Corp
• Coral Way Health Center Inc.
• Coral Way MRI & Diagnostics LLLP
• Coral Way Pharmacy

• Diagnostic Radiology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Diagnostic Radiology Physician in Florida

• 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.