Fountain Imaging of Plantation

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

HCC4211 Issued in FL

Legal business name

FOUNTAIN IMAGING OF PLANTATION

Doing business as

Fountain Imaging

Practice address

301 NW 84TH Ave
Suite #100
Plantation, FL 33324-1807

Phone

(954) 888-1816

Fax

(954) 476-5238

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Kristi Lynn Hebert

Title

Administrator

Phone

(954) 888-1816

Specialties & licenses 1

Addresses

Other names 1

• FOUNTAIN IMAGING Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881750529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NW 84TH AVE",
            "address_2": "SUITE #100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241807",
            "telephone_number": "954-888-1816",
            "fax_number": "954-476-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 84TH AVE",
            "address_2": "SUITE #100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241807",
            "telephone_number": "954-888-1816",
            "fax_number": "954-476-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN IMAGING OF PLANTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-888-1816"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Lauderdale Mobile Ultrasound Inc (DPI of Plantation)
• Fortis Emergency Physicians, LLC
• Fortis Emergency Physicians, LLC
• John Winston Foster, MD
• Florence Foucauld, M.D.
• Fountains Dental PA
• Fountains Therapy Center
• Fountains Therapy Center
• Racquel Fournet
• Cheryl Fox, MOTR/L

• Magnetic Resonance Imaging (MRI) Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.