Organization Active NPI

Diagnostic Service Center of North Miami Beach LLC

  • Radiology Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1881865079
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC6911 Issued in FL
Legal business name
DIAGNOSTIC SERVICE CENTER OF NORTH MIAMI BEACH LLC
Practice address
1 NE 167TH St
North Miami Beach, FL 33162-3402
Phone
(305) 770-4343
Fax
(305) 770-4343
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Ms. Sharon Tremblay
Title
Business Development
Phone
(305) 770-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC6911 FL Primary

Addresses

Primary practice location

1 NE 167TH St
North Miami Beach, FL 33162-3402

Mailing address

88 NE 168TH St
North Miami Beach, FL 33162-3410
Phone (305) 770-4343

Other identifiers 4

IdentifierTypeStateIssuer
V3305OtherFLBLUE CROSS BLUE SHIELD
64817OtherFLNEIGHBORHOOD HEALTH PLAN
319618OtherFLAVMED
F300153OtherFLFREEDOM HEALTH

Other names 1

  • FOUNTAIN IMAGING Doing business as

National Provider Directory

National Provider Directory

Locations

88 NE 168th St
North Miami Beach, FL 33162
Phone (305) 665-4674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1881865079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NE 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623410",
            "telephone_number": "305-770-4343",
            "fax_number": "305-770-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-770-4343",
            "fax_number": "305-770-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC SERVICE CENTER OF NORTH MIAMI BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "TREMBLAY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "305-770-4343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC6911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V3305",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "64817",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "319618",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "F300153",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.