Organization Active NPI

American Diagnostic Medicine

Doing business as Open MRI of Beverly Hills

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Beverly Hills, FL
National Provider Identifier
1700994910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC5650 Issued in FL
Legal business name
AMERICAN DIAGNOSTIC MEDICINE
Doing business as
Open MRI of Beverly Hills
Practice address
3537 N Lecanto Hwy
Beverly Hills, FL 34465-3502
Phone
(352) 527-9333
Fax
(352) 527-2482
NPI assigned
Aug 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hector Rivera, RT
Title
Technologist/Manager
Phone
(352) 527-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC5650 FL Primary

Addresses

Primary practice location

3537 N Lecanto Hwy
Beverly Hills, FL 34465-3502

Mailing address

PO Box 6465
Titusville, FL 32782-6465
Phone (352) 527-9333

Other identifiers 1

IdentifierTypeStateIssuer
V2381OtherFLBLUE SHIELD

Other names 1

  • OPEN MRI OF BEVERLY HILLS Doing business as

National Provider Directory

National Provider Directory

Locations

3537 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 527-0430

490 Garden St
Ste C
Titusville, FL 32796

7235 Hanover Pkwy
Ste Ab
Greenbelt, MD 20770
Phone (301) 614-8782

523 6th St
Brooklyn, NY 11215
Phone (718) 369-5196

6655 Travis St
Ste 690
Houston, TX 77030
Phone (713) 526-5773

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700994910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6465",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327826465",
            "telephone_number": "352-527-9333",
            "fax_number": "352-527-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653502",
            "telephone_number": "352-527-9333",
            "fax_number": "352-527-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DIAGNOSTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "TECHNOLOGIST/MANAGER",
        "authorized_official_telephone_number": "352-527-9333",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC5650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "V2381",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN MRI OF BEVERLY HILLS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.