INDEPENDENT IMAGING LLC


Address: 11551 Southern Blvd, Suite 1, Royal Palm Beach, FL 33411-4254
Phone: 5617661300

INDEPENDENT IMAGING LLC (NPI# 1174989255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174989255
Entity Type Organization
Organization Name INDEPENDENT IMAGING LLC
Practice Address 11551 Southern Blvd
Suite 1
Royal Palm Beach
FL 33411-4254
Mailing Address Po Box 1313
Loxahatchee
FL 33470-1313
Practice Telephone 5617661300
Practice Fax Number 5616930539
Mailing Telephone 5617661300
Mailing Fax Number 5616930539
Enumeration Date 2016-01-05
Last Update Date 2016-01-05
Authorized Official Name DR. ARTHUR HANSEN (OWNER)
Authorized Official Telephone 5617661300
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 11551 SOUTHERN BLVD
SUITE 1
City ROYAL PALM BEACH
State FL
Zip Code 33411-4254

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1265494363 Omi of Wellington Inc Clinic/Center 11965 Southern Blvd, Sutie 13 & 14, Royal Palm Beach, FL 33411 2006-04-04

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Competitor

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City ROYAL PALM BEACH
Zip Code 33411

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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