Organization Active NPI

Douglas Diagnostic Inc

  • Radiology Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1689897217
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DOUGLAS DIAGNOSTIC INC
Practice address
802 Douglas Road
Suite 150
Coral Gables, FL 33134
Phone
(305) 441-8800
Fax
(305) 445-4301
NPI assigned
Apr 11, 2007
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mr. Stephen E Cianciulli
Title
President
Phone
(305) 275-6069

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

802 Douglas Road
Suite 150
Coral Gables, FL 33134

Mailing address

9485 SW 72ND St
Suite A150
Miami, FL 33173-3242
Phone (305) 275-6069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1689897217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "SUITE A150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "305-275-6069",
            "fax_number": "305-412-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DOUGLAS ROAD",
            "address_2": "SUITE 150",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-441-8800",
            "fax_number": "305-445-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "CIANCIULLI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-275-6069",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

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