Midtown Imaging LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIDTOWN IMAGING LLC

Practice address

345 Jupiter Lakes Blvd
Suite 100
Jupiter, FL 33458-7100

Phone

(561) 748-7477

Fax

(561) 209-6377

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin G. Johnson

Title

Cfo

Phone

(561) 697-3001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1801965025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850364",
            "telephone_number": "561-697-3001",
            "fax_number": "561-209-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 JUPITER LAKES BLVD",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587100",
            "telephone_number": "561-748-7477",
            "fax_number": "561-209-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-697-3001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Z Kalter M D M S P a
• Monica Jean Michalski, MPT, OCS, CERT MDT
• Michelle Carrillo-Massa MD LLC
• Jennie Middlemas, MED CCC-SLP
• Midtown Imaging LLC
• Alexandra Mignatti
• Crystal Mike
• Dejanae Mike, RBT
• Shannon Lorraine Milam, ARNP-BC
• Milestones, Inc

• Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.