Active NPI
Precision MRI Center LLC
- Radiography Radiologic Technologist
- Hollywood, FL
National Provider Identifier
1699229641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- Legal business name
- PRECISION MRI CENTER LLC
- Practice address
- 3500 Hollywood Blvd
Hollywood, FL 33021-6809 - Phone
- (954) 266-4210
- Fax
- (954) 289-5948
- NPI assigned
- Aug 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Rios Maclellan
- Title
- Ambr
- Phone
- (954) 266-4210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | Primary |
Addresses
Primary practice location
3500 Hollywood Blvd
Hollywood, FL 33021-6809
Mailing address
3500 Hollywood Blvd
Hollywood, FL 33021-6809
Phone (954) 266-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L14000167208 | Other | FL | DOCUMENT NUMBER |
National Provider Directory
National Provider DirectoryLocations
3500 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 239-6060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470614400000",
"number": "1699229641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216809",
"telephone_number": "954-266-4210",
"fax_number": "954-289-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216809",
"telephone_number": "954-266-4210",
"fax_number": "954-289-5948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION MRI CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A",
"authorized_official_last_name": "RIOS MACLELLAN",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "AMBR",
"authorized_official_telephone_number": "954-266-4210"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCUMENT NUMBER",
"identifier": "L14000167208",
"state": "FL"
}
],
"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 Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.