Professional Imaging Centers Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PROFESSIONAL IMAGING CENTERS INC

Practice address

225 W Sr 434
Suite 104
Longwood, FL 32750-4980

Phone

(407) 301-1000

Fax

(407) 678-9938

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Mejias

Title

Cfo

Phone

(407) 493-3979

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert H Hardage Jr., M.D.

  • Diagnostic Radiology Physician
  • Starke, FL
  • NPI 1720002702
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1982909123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 WILLA SPRINGS DR",
            "address_2": "SUITE 1051",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085246",
            "telephone_number": "407-657-7979",
            "fax_number": "407-678-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W SR 434",
            "address_2": "SUITE 104",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504980",
            "telephone_number": "407-301-1000",
            "fax_number": "407-678-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL IMAGING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MEJIAS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-493-3979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aaron Chase Proctor
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• Jessica Proulx, RMFTI
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• All providers in Longwood, FL
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.