Organization Active NPI

Southeast MRI LLC

  • Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1922129121
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHEAST MRI LLC
Practice address
1950 N Federal Hwy
Pompano Beach, FL 33062-1003
Phone
(954) 784-6292
Fax
(954) 784-6229
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Evan Sade
Title
Consultant
Phone
(954) 817-9402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1950 N Federal Hwy
Pompano Beach, FL 33062-1003

Mailing address

2295 NW Corporate Blvd
Suite 140
Boca Raton, FL 33431-7323
Phone (561) 241-1971

National Provider Directory

National Provider Directory

Locations

1950 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 784-6292

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1922129121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD",
            "address_2": "SUITE 140",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317323",
            "telephone_number": "561-241-1971",
            "fax_number": "561-241-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621003",
            "telephone_number": "954-784-6292",
            "fax_number": "954-784-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "SADE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "954-817-9402"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.