Southeastern Imaging Associates Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

HCC8538 Issued in FL

Legal business name

SOUTHEASTERN IMAGING ASSOCIATES INC

Practice address

8461 Lake Worth Rd
Suite 235
Lake Worth, FL 33467-2474

Phone

(561) 422-3372

Fax

(561) 422-3377

NPI assigned

Apr 20, 2009

Last updated

Jan 18, 2013By 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

Mr. Ronald Enrique Gonzalez, RDMS, RDCS, RVT

Title

President

Phone

(954) 325-3911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Diane P Clarke, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
  • NPI 1760407076
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1780828814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 LAKE WORTH RD",
            "address_2": "SUITE 235",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672474",
            "telephone_number": "561-422-3372",
            "fax_number": "561-422-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 LAKE WORTH RD",
            "address_2": "SUITE 235",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672474",
            "telephone_number": "561-422-3372",
            "fax_number": "561-422-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN IMAGING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-325-3911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDMS, RDCS, RVT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "HCC8538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Laboratory, LLC
• South Florida Orthopaedics & Sports Medicine, PA
• South Florida Treatment Center
• South Florida Treatment Center
• South Palm Beach Medical Services Inc
• Southern Blossom (None)
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Medical Laboratories LLC.
• Jennifer N/a Southern, BEHAVIOR ASSISTANT

• Multi-Specialty Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.