Organization Active NPI

B & G Diagnostic Services Inc

  • Diagnostic Radiology Physician
  • Hialeah, FL
National Provider Identifier
1831449073
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC9424 Issued in FL
Legal business name
B & G DIAGNOSTIC SERVICES INC
Practice address
472 W 51St PL
Hialeah, FL 33012-3620
Phone
(305) 818-2006
Fax
(305) 818-2009
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mr. Basilio Valle
Title
President
Phone
(305) 818-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC9424 FL Primary

Addresses

Primary practice location

472 W 51St PL
Hialeah, FL 33012-3620

Mailing address

472 W 51St PL
Hialeah, FL 33012-3620
Phone (305) 818-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130313000509 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8729060165 Practice locations: Hialeah, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
B G Diagnostic Services2 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.

Locations

444 W 51st Pl
Hialeah, FL 33012
Phone (305) 818-2006

472 W 51st Pl
Hialeah, FL 33012
Phone (305) 818-2006

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1831449073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 W 51ST PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123620",
            "telephone_number": "305-818-2006",
            "fax_number": "305-818-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 W 51ST PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123620",
            "telephone_number": "305-818-2006",
            "fax_number": "305-818-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & G DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "BASILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-818-2006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC9424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.