Altamonte Springs Diagnostic Imaging, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ALTAMONTE SPRINGS DIAGNOSTIC IMAGING, INC.

Doing business as

Premier Medical Imaging

Practice address

8903 Glades Rd
Suite B1
Boca Raton, FL 33434-4074

Phone

(561) 218-9011

Fax

(561) 218-9012

NPI assigned

Nov 11, 2009

Last updated

Feb 13, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ALTAMONTE SPRINGS DIAGNOSTIC IMAGING, INC.As reported in NPPES

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

Authorized official

Name

Mr. Ronald I Landau, M.D.

Title

Owner

Phone

(407) 482-5253

Specialties & licenses 1

Addresses

Other names 1

• PREMIER MEDICAL IMAGING Doing business as

Part of

Premier Medical Imaging

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1679800726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S SEMORAN BLVD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071424",
            "telephone_number": "407-482-5253",
            "fax_number": "407-482-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD",
            "address_2": "SUITE B1",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344074",
            "telephone_number": "561-218-9011",
            "fax_number": "561-218-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING, INC.",
        "enumeration_date": "2009-11-11",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-482-5253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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