Organization Active NPI

Advanced Medical Imaging and Teleradiology LLC

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1962749952
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED MEDICAL IMAGING AND TELERADIOLOGY LLC
Practice address
1489 W Palmetto Park Rd
Suite 357
Boca Raton, FL 33486-3325
Phone
(888) 264-3344
NPI assigned
Jan 10, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Ron Mark, MD
Title
Owner
Phone
(888) 264-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1489 W Palmetto Park Rd
Suite 357
Boca Raton, FL 33486-3325

Mailing address

1489 W Palmetto Park Rd
Suite 357
Boca Raton, FL 33486-3325
Phone (888) 264-3344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1962749952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W PALMETTO PARK RD",
            "address_2": "SUITE 357",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863325",
            "telephone_number": "888-264-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W PALMETTO PARK RD",
            "address_2": "SUITE 357",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863325",
            "telephone_number": "888-264-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING AND TELERADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-264-3344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.