Imedical Diagnostic Imaging Center of Naples, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC8783 Issued in FL

Legal business name

IMEDICAL DIAGNOSTIC IMAGING CENTER OF NAPLES, LLC

Practice address

500 West Main Street
Suite 108
Babylon, NY 11702-3028

Phone

(631) 240-2277

Fax

(631) 517-8007

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Alan Sternberg

Title

General Partner

Phone

(239) 430-4674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1871806133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TAMIAMI TRAIL NORTH",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025209",
            "telephone_number": "239-430-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST MAIN STREET",
            "address_2": "SUITE 108",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023028",
            "telephone_number": "631-240-2277",
            "fax_number": "631-517-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMEDICAL DIAGNOSTIC IMAGING CENTER OF NAPLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "239-430-4674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC8783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.