Organization Active NPI

Ab Diagnostic Center Inc

  • Radiology Clinic/Center
  • Opa Locka, FL
National Provider Identifier
1942535687
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC6403 Issued in FL
Legal business name
AB DIAGNOSTIC CENTER INC
Practice address
3803 NW 125TH St
Opa Locka, FL 33054-4515
Phone
(305) 687-8780
Fax
(305) 687-8896
NPI assigned
Oct 14, 2009
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Juan Carlos Aragon
Title
President
Phone
(305) 687-8780

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC6403 FL
Radiology Clinic/Center 261QR0200X HCC6403 FL Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X HCC6403 FL

Addresses

Primary practice location

3803 NW 125TH St
Opa Locka, FL 33054-4515

Mailing address

3803 NW 125TH St
Opa Locka, FL 33054-4515
Phone (305) 687-8780

National Provider Directory

National Provider Directory

Locations

3803 NW 125th St
Opa Locka, FL 33054
Phone (305) 687-8780

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1942535687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 NW 125TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330544515",
            "telephone_number": "305-687-8780",
            "fax_number": "305-687-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 NW 125TH ST",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330544515",
            "telephone_number": "305-687-8780",
            "fax_number": "305-687-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-687-8780"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC6403",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC6403",
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": "HCC6403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.