Organization Active NPI

Kendall Advanced Life Imaging, LLC

  • Mammography Clinic/Center
  • Miami, FL
National Provider Identifier
1669419214
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
KENDALL ADVANCED LIFE IMAGING, LLC
Practice address
14350 SW 142ND Ave
Miami, FL 33186-6752
Phone
(305) 234-0836
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Sergio F Cabrera
Title
President
Phone
(305) 274-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

14350 SW 142ND Ave
Miami, FL 33186-6752

Mailing address

590 E 25TH St
Hialeah, FL 33013-3841
Phone (305) 274-3339

Other names 1

  • Medical Digital Diagnostics of Hialeah Doing business as

National Provider Directory

National Provider Directory

Locations

590 E 25th St
Hialeah, FL 33013
Phone (305) 303-8368

9280 SW 72nd St
Miami, FL 33173
Phone (305) 630-2690

14350 SW 142nd Ave
Miami, FL 33186
Phone (305) 234-0836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1669419214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E 25TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133841",
            "telephone_number": "305-274-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 SW 142ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866752",
            "telephone_number": "305-234-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL ADVANCED LIFE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-274-3339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Digital Diagnostics of Hialeah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 24, 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.