Organization Active NPI

Imaging Teknix, LLC

  • Radiology Clinic/Center
  • Hollywood, FL
National Provider Identifier
1669819793
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
EXEMPT Issued in FL
Legal business name
IMAGING TEKNIX, LLC
Practice address
3800 Johnson Street
Suite C
Hollywood, FL 33021
Phone
(954) 962-4700
Fax
(954) 962-1707
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Herbert L Shick, MD
Title
Owner
Phone
(954) 494-3032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X EXEMPT FL Primary

Addresses

Primary practice location

3800 Johnson Street
Suite C
Hollywood, FL 33021

Mailing address

4251 Mangrum CT
Hollywood, FL 33021-2419
Phone (954) 494-3032

National Provider Directory

National Provider Directory

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": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1669819793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 MANGRUM CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212419",
            "telephone_number": "954-494-3032",
            "fax_number": "954-962-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JOHNSON STREET",
            "address_2": "SUITE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-962-4700",
            "fax_number": "954-962-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING TEKNIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-494-3032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.