Universiity Imaging Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UNIVERSIITY IMAGING CENTER LLC

Practice address

325 S Dixie Hwy Ste 7
Lake Worth, FL 33460-4423

Phone

(561) 819-9106

Fax

(561) 469-6719

NPI assigned

Oct 12, 2020

Last updated

Oct 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl H Rene

Title

Senior Member

Phone

(561) 713-0232

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1912505066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S DIXIE HWY STE 7",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604423",
            "telephone_number": "561-819-9106",
            "fax_number": "561-469-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S DIXIE HWY STE 7",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604423",
            "telephone_number": "561-819-9106",
            "fax_number": "561-469-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSIITY IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "RENE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SENIOR MEMBER",
        "authorized_official_telephone_number": "561-713-0232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO",
            "identifier": "8551514324",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FLORIDA",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "325 S Dixie Hwy Ste 7",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334604423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "325 S Dixie Hwy Ste 7",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334604423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.