Concept West Efl Imaging Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CONCEPT WEST EFL IMAGING CENTER LLC

Doing business as

Concept West Open Imaging Center

Practice address

7639 Lake Worth Rd
Lake Worth, FL 33467-2534

Phone

(561) 966-6288

Fax

(561) 966-6765

NPI assigned

Apr 7, 2006

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Hoffman

Title

Chief Executive Officer

Phone

(561) 838-3630

Specialties & licenses 1

Addresses

Other names 1

• Concept West Open Imaging Center Doing business as

Locations

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1740243260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7639 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672534",
            "telephone_number": "561-966-6288",
            "fax_number": "561-966-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7639 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672534",
            "telephone_number": "561-966-6288",
            "fax_number": "561-966-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT WEST EFL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-838-3630"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concept West Open Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer E Consolo, MSW

• Diagnostic Radiology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.