Active NPI
Palm Beach Broward Medical Imaging Center, Inc.
Doing business as Radiology Express
- Radiology Clinic/Center
- Deerfield Beach, FL
National Provider Identifier
1952404519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- HCC3645
- Legal business name
- PALM BEACH BROWARD MEDICAL IMAGING CENTER, INC.
- Doing business as
- Radiology Express
- Practice address
- 1500 E Hillsboro Blvd
Suite 110
Deerfield Beach, FL 33441-4356 - Phone
- (954) 426-3006
- Fax
- (954) 481-9318
- NPI assigned
- Sep 7, 2006
- Last updated
- Nov 10, 2015
- 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
- Kaya Colak, M.D.
- Title
- Owner/Medical Director
- Phone
- (954) 426-3006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | HCC3645 | FL | Primary |
Addresses
Primary practice location
1500 E Hillsboro Blvd
Suite 110
Deerfield Beach, FL 33441-4356
Mailing address
1500 E Hillsboro Blvd
Suite 110
Deerfield Beach, FL 33441-4356
Phone (954) 426-3006
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003400 | Other | FL | AVMED |
| 05357A2 | Other | FL | CAREPLUS |
| 707585 | Other | FL | WELLCARE STAYWELL |
| AN30474120001 | Other | FL | CIGNA |
| 2240778 | Other | FL | AETNA |
| 065032300 | Medicaid | FL | |
| 3400023 | Other | FL | UNITED HEALTHCARE |
| N1551 | Other | FL | HEALTHEASE |
| 0032120 | Other | NY | GHI |
| 300022828 | Other | MEDICARE RAILROAD | |
| SG017032 | Other | FL | VISTA |
| V2998 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Radiology Express
National Provider Directory
National Provider DirectoryLocations
1500 E Hillsboro Blvd
Ste 105
Deerfield Bch, FL 33441
Phone (954) 392-8533
1500 E Hillsboro Blvd
Ste 110
Deerfield Beach, FL 33441
Phone (954) 426-3006
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Coral Springs, FL
- NPI 1558450023
-
- Diagnostic Radiology Physician
- Fort Lauderdale, FL
- NPI 1700864766
-
- Diagnostic Radiology Physician
- Deerfield Beach, FL
- NPI 1588799043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447113600000",
"number": "1952404519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E HILLSBORO BLVD",
"address_2": "SUITE 110",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414356",
"telephone_number": "954-426-3006",
"fax_number": "954-481-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E HILLSBORO BLVD",
"address_2": "SUITE 110",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334414356",
"telephone_number": "954-426-3006",
"fax_number": "954-481-9318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALM BEACH BROWARD MEDICAL IMAGING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2015-11-10",
"status": "A",
"authorized_official_last_name": "COLAK",
"authorized_official_first_name": "KAYA",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-426-3006",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "HCC3645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "003400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS",
"identifier": "05357A2",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE STAYWELL",
"identifier": "707585",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "AN30474120001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2240778",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065032300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3400023",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "N1551",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0032120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "300022828",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "SG017032",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "V2998",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Radiology Express",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.