MEDICARE: CENTER FOR DIAGNOSTIC IMAGING LTD

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	261QR0200X	Radiology Clinic/Center	2755834	FL
2	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689677668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR DIAGNOSTIC IMAGING LTD

Provider Business Mailing Address
First Line	:	1380 NE MIAMI GARDENS DR
Second Line	:	STE 115
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-4708
Country	:	US
Telephone Number	:	305-947-4461
Fax Number	:	305-947-4940

Provider Business Practice Location Address
First Line	:	1380 NE MIAMI GARDENS DR
Second Line	:	STE 115
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-4708
Country	:	US
Telephone Number	:	305-947-4461
Fax Number	:	305-947-4940

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. JOSEPH OKSEMBERG
Credential	:
Telephone Number	:	305-947-4461

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/17/2025

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Directions to “CENTER FOR DIAGNOSTIC IMAGING LTD ” Practice Location

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