Healthcare Provider Details

I. General information

NPI: 1750736682
Provider Name (Legal Business Name): RADIOLOGY AND CARDIOLOGY DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 04/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 W PALMETTO PARK RD SUITE 205
BOCA RATON FL
33433-3424
US

IV. Provider business mailing address

7000 W PALMETTO PARK RD SUITE 205
BOCA RATON FL
33433-3424
US

V. Phone/Fax

Practice location:
  • Phone: 855-200-8262
  • Fax:
Mailing address:
  • Phone: 855-200-8262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY ARTEL
Title or Position: OWNER
Credential:
Phone: 855-200-8262