Active NPI
Digital Medical Imaging LLC
- Diagnostic Radiology Physician
- Aventura, FL
National Provider Identifier
1902829369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DIGITAL MEDICAL IMAGING LLC
- Practice address
- 20601 E Dixie Hwy Ste 350
Aventura, FL 33180-1549 - Phone
- (786) 923-2000
- Fax
- (786) 923-2001
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Cohen
- Title
- Director
- Phone
- (786) 923-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
20601 E Dixie Hwy Ste 350
Aventura, FL 33180-1549
Mailing address
20601 E Dixie Hwy Ste 350
Aventura, FL 33180-1549
Phone (786) 923-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615000205 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0941284368 | Practice locations: Aventura, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2024456 | Digital Medical Imaging | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
20601 E Dixie Hwy
Ste 350
Aventura, FL 33180
Phone (305) 931-0504
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Tarpon Springs, FL
- NPI 1982803532
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902829369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20601 E DIXIE HWY STE 350",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801549",
"telephone_number": "786-923-2000",
"fax_number": "786-923-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20601 E DIXIE HWY STE 350",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801549",
"telephone_number": "786-923-2000",
"fax_number": "786-923-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITAL MEDICAL IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "786-923-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.