Organization Active NPI

Diagnostic Medical Imaging of Hollywood LLC

  • Radiology Clinic/Center
  • Hollywood, FL
National Provider Identifier
1861744823
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIAGNOSTIC MEDICAL IMAGING OF HOLLYWOOD LLC
Practice address
6517 Taft Street
Suite 103
Hollywood, FL 33024
Phone
(954) 780-5566
Fax
(954) 780-5567
NPI assigned
Oct 15, 2012
Organization subpart
Yes
Parent organization
RMI DIAGNOSTIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Mr. Robert Issa
Title
President
Phone
(954) 980-0398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

6517 Taft Street
Suite 103
Hollywood, FL 33024

Mailing address

6517 Taft Street
Suite 103
Hollywood, FL 33024
Phone (954) 780-5566

Other names 1

  • RMI Diagnostic, LLC Other name

National Provider Directory

National Provider Directory
Part of
Rmi Diagnostic LLC

Locations

6517 Taft St
Ste 103
Hollywood, FL 33024
Phone (954) 780-5566

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1861744823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 TAFT STREET",
            "address_2": "SUITE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-780-5566",
            "fax_number": "954-780-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 TAFT STREET",
            "address_2": "SUITE 103",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-780-5566",
            "fax_number": "954-780-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL IMAGING OF HOLLYWOOD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RMI DIAGNOSTIC, LLC",
        "enumeration_date": "2012-10-15",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-980-0398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMI Diagnostic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.