Florida Bedside Imaging

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

FLORIDA BEDSIDE IMAGING

Practice address

11595 Kelly Rd
Fort Myers, FL 33908-2572

Phone

(877) 680-8530

Fax

(954) 583-5142

NPI assigned

May 29, 2009

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce D Koplowitz

Title

Managing Member

Phone

(877) 680-8530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1639305063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "877-680-8530",
            "fax_number": "954-583-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "877-680-8530",
            "fax_number": "954-583-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BEDSIDE IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "KOPLOWITZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "877-680-8530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.