Organization Active NPI

Precision MRI Center LLC

  • Radiography Radiologic Technologist
  • Hollywood, FL
National Provider Identifier
1699229641
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
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

Updated by the provider on Aug 8, 2016

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)CodeLicenseStatePrimary
Radiography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
L14000167208OtherFLDOCUMENT NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.