Specialty Imaging Services Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SPECIALTY IMAGING SERVICES INC

Practice address

2501 Howell Branch Rd
Casselberry, FL 32707-6553

Phone

(407) 678-7333

Fax

(407) 678-7009

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Pamela Bowen

Title

President/Owner

Phone

(407) 678-7333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962507152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HOWELL BRANCH RD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076553",
            "telephone_number": "407-678-7333",
            "fax_number": "407-678-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HOWELL BRANCH RD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076553",
            "telephone_number": "407-678-7333",
            "fax_number": "407-678-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY IMAGING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-678-7333"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Physiological Laboratory in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.