Organization Active NPI

Medical Center Imaging LLC

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1669878526
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEDICAL CENTER IMAGING LLC
Practice address
2700 W Cypress Creek Rd
Suite C11
Ft Lauderdale, FL 33309-1744
Phone
(954) 974-6191
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Russ Seger, D C
Title
President Owner
Phone
(561) 967-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd
Suite C11
Ft Lauderdale, FL 33309-1744

Mailing address

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-7469
Phone (561) 967-8888

Other identifiers 1

IdentifierTypeStateIssuer
HCC6061OtherFLACHA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Central Plam Beach Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1669878526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157469",
            "telephone_number": "561-967-8888",
            "fax_number": "561-641-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD",
            "address_2": "SUITE C11",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091744",
            "telephone_number": "954-974-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "SEGER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "561-967-8888",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA LICENSE",
            "identifier": "HCC6061",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.