Med Pro Imaging

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

H63883 Issued in FL

Legal business name

MED PRO IMAGING

Practice address

7050 NW 4TH St
Suite # 202
Plantation, FL 33317-2247

Phone

(954) 791-9729

Fax

(954) 791-9724

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Iris Marin

Title

President

Phone

(954) 791-9729

Specialties & licenses 1

Addresses

Other names 1

• West Broward X-Ray Center Former legal business name

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1891808606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST",
            "address_2": "SUITE # 202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172247",
            "telephone_number": "954-791-9729",
            "fax_number": "954-791-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST",
            "address_2": "SUITE # 202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172247",
            "telephone_number": "954-791-9729",
            "fax_number": "954-791-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED PRO IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-791-9729",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "H63883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Broward X-Ray Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dylan Mead, PHARMD
• Jesse Patrick Meagher
• Kortney Mears
• Med Diagnostic Laboratory Inc
• Med Equip DME LLC
• Med-Care Home Health Services Inc
• Medaprime, Inc
• Sara Ann Medeiros, ARNP
• Rogelio Jose Medel, MD
• Mirta M. Mederos-Lezcano, MD

• Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.