SOUTH FLORIDA MOBILE OPEN MRI, LLC (NPI# 1285882910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285882910 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA MOBILE OPEN MRI, LLC |
| Other Organization Name | PREMIER DIAGNOSTIC IMAGING |
| Practice Address |
4348 Forest Hill Blvd West Palm Beach FL 33406-5718 |
| Practice Telephone | 5616416093 |
| Practice Fax Number | 5616416094 |
| Mailing Telephone | 5616416093 |
| Mailing Fax Number | 5616416094 |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | FORREST ALLEN WRIGHT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3053603220 |
| Authorized Official Credential | RT (R) (MR) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
CRT54864 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Diagnostic Imaging | Doing Business As Name - Organization |
| Street Address |
4348 FOREST HILL BLVD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33406-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092736 | Meylin Hernadez Sr. | Behavior Technician | 4208 Palm Bay Cir Aprto, West Palm Beach, FL 33406 | 2020-10-29 |
| 1891358651 | Rosa Iris Rivera | Internal Medicine | 4068-1 Forest Hill Blvd, West Palm Beach, FL 33406 | 2019-04-17 |
| 1043799232 | Zobeyda Fernandez Andrain | Behavior Technician | 1475 Forest Hill Blvd., #1, West Palm Beach, FL 33406 | 2018-08-09 |
| 1942793807 | Good Samaritan Physio-therapy, LLC | Clinic/Center | 2393 South Congress Ave Suite 125, West Palm Beach, FL 33406 | 2018-06-14 |
| 1265921050 | Rosaura Vasquez | Occupational Therapy Assistant | 2393 S. Congress Av. Suite 130, West Palm Beach, FL 33406 | 2018-05-07 |
| 1124528427 | Margarette Leandre | Nurse Practitioner | 2640 Forest Hill Boulevard, West Palm Beach, FL 33406 | 2018-02-14 |
| 1689188401 | Trinity Care Alf | Assisted Living Facility | 1298 Victoria Drive, West Palm Beach, FL 33406 | 2017-12-01 |
| 1730698762 | Nelsa Paulina Zorrilla | Behavioral Analyst | 4008 Palm Bay Circle Unit D, West Palm Beach, FL 33406 | 2017-09-21 |
| 1710405352 | Pure Dental Care,p.a. | Dentist | 2326 South Congress Avenue, West Palm Beach, FL 33406 | 2017-09-05 |
| 1063938629 | William Antwon Johnson | Behavioral Analyst | 1815 Forest Hill, . Lake Clark Shores, FL 33406 | 2017-08-16 |
| Find all providers in zip 33406 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112149 | Medfund LLC | Clinic/Center | 1117 N Olive Ave, Ste 101, West Palm Beach, FL 33401-3520 | 2005-05-23 |
| 1437433935 | Professional Diagnostic Reading Mri Inc | Clinic/Center | 2800 N Military Trl, Ste 108, West Palm Beach, FL 33409-2951 | 2011-10-03 |
| 1033357926 | A1 Imaging of West Palm Beach LLC | Clinic/Center | 1117 N Olive Ave, Suite 101, West Palm Beach, FL 33401-3520 | 2009-01-30 |
| 1720247760 | A1 Imaging of West Palm Beach LLC | Clinic/Center | 1117 N Olive Ave, Suite 101, West Palm Beach, FL 33401-3520 | 2008-06-05 |
| 1619033354 | Fountain Imaging of West Palm Beach | Clinic/Center | 5841 Corporate Way, Suite #101, West Palm Beach, FL 33407-2039 | 2006-12-28 |
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|---|---|---|---|---|
| 1932700176 | Mri Associates of Crystal River | Clinic/Center | 6136 W Gulf To Lake Hwy, Crystal River, FL 34429-7558 | 2020-11-04 |
| 1477168714 | Indago Imaging | Clinic/Center | 3716 W 12th Ave, Hialeah, FL 33012-4126 | 2020-09-14 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1548880784 | Lee County Mri Inc | Clinic/Center | 2215 Winkler Ave Ste G, Fort Myers, FL 33901-9150 | 2020-04-17 |
| 1053942383 | Musculoskeletal Institute Chartered | Clinic/Center | 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655-4405 | 2020-01-27 |
| 1407497647 | Proscan Imaging Naples LLC | Clinic/Center | 8340 Sierra Meadows Blvd Ste 103, Naples, FL 34113-7328 | 2019-09-30 |
| 1851940100 | Express Medical Imaging, LLC | Clinic/Center | 6300 Saint Johns Ave, Palatka, FL 32177-3884 | 2019-09-10 |
| 1104478601 | Flagler Mri Diagnostic Inc | Clinic/Center | 8000 W Flagler St Ste 102, Miami, FL 33144-2157 | 2019-07-15 |
| 1205497260 | South Miami Open Mri LLC | Clinic/Center | 6161 Sunset Dr Ste A, South Miami, FL 33143-5045 | 2019-06-21 |
| 1215592829 | Advance Scans & Imaging Center Inc. | Clinic/Center | 2453 N State Road 7, Lauderdale Lakes, FL 33313-3723 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33406 |
Please comment or provide details below to improve the information on SOUTH FLORIDA MOBILE OPEN MRI, LLC.
| 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.