Imic Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMIC INC

Practice address

18320 Franjo Rd
Palmetto Bay, FL 33157-5503

Phone

(786) 310-7477

Fax

(305) 252-2199

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Boris Nikolov

Title

Ceo

Phone

(786) 310-7477

Specialties & licenses 2

Addresses

Tax ID family

Imic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imic Inc.

  • Case Management Agency
  • Palmetto Bay, FL
  • NPI 1407001902
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria V Martinez, ARNP

  • Family Nurse Practitioner
  • Palmetto Bay, FL
  • NPI 1205314291
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1720515554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18320 FRANJO RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575503",
            "telephone_number": "786-310-7477",
            "fax_number": "305-252-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18320 FRANJO RD",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575503",
            "telephone_number": "786-310-7477",
            "fax_number": "305-252-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "NIKOLOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-310-7477",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Camelia Hosseini
• Hugh J Connolly MD PA
• Amalia Hurtado Toribio, TCM
• Andrea Hurtado, M.S.
• Nora Ibarra, CBHCM-P
• Imic Inc.
• Innovaionclinical Trials Inc.
• Innovation Clinical Trials Inc
• Integral Medical Center Palmetto LLC
• Intercare Case Management Services Inc.

• Clinical Medical Laboratory in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.