Ack-Ten Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC4567 Issued in FL

Legal business name

ACK-TEN GROUP LLC

Doing business as

Seacrest MRI Of Wellington

Practice address

10140 W Forest Hill Blvd
Wellington, FL 33414-6111

Phone

(561) 798-7350

Fax

(561) 798-7354

NPI assigned

Sep 23, 2005

Last updated

Sep 18, 2012By 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

Jordan Litten

Title

President

Phone

(561) 739-9674

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Seacrest MRI Of Wellington Doing business as

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1831185982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "address_2": "SUITE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-739-9674",
            "fax_number": "561-739-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 W FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146111",
            "telephone_number": "561-798-7350",
            "fax_number": "561-798-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACK-TEN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "LITTEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-739-9674"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC4567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274204700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2825",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seacrest MRI Of Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.