Progressive Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

JR43749000 Issued in FL

Legal business name

PROGRESSIVE IMAGING LLC

Practice address

13641 Metropolis Ave.
Ste. 102
Fort Myers, FL 33912-4433

Phone

(239) 210-0530

Fax

(239) 210-0353

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph V. Bonar

Title

Managing Member

Phone

(239) 210-0350

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1659536951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13641 METROPOLIS AVE STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124433",
            "telephone_number": "239-210-0350",
            "fax_number": "239-210-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 METROPOLIS AVE.",
            "address_2": "STE. 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124433",
            "telephone_number": "239-210-0530",
            "fax_number": "239-210-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "BONAR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "239-210-0350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "JR43749000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.