MEDICARE: ONEIMAGING MEDICAL SERVICES FL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1174463129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEIMAGING MEDICAL SERVICES FL PA

Provider Business Mailing Address
First Line	:	3723 GREENVILLE AVE STE 41248
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5311
Country	:	US
Telephone Number	:	833-619-0837
Fax Number	:

Provider Business Practice Location Address
First Line	:	2916 N MIAMI AVE STE 616
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-3963
Country	:	US
Telephone Number	:	833-619-0837
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	YEJOON CHUNG
Credential	:
Telephone Number	:	616-560-6360

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “ONEIMAGING MEDICAL SERVICES FL PA ” Practice Location

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