Healthcare Provider Details

I. General information

NPI: 1740438092
Provider Name (Legal Business Name): A1 IMAGING OF CORAL GABLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PONCE DE LEON BLVD SUITE 102
CORAL GABLES FL
33134-4422
US

IV. Provider business mailing address

2 N. TAMIAMI TRAIL SUITE 800
SARASOTA FL
34236-5559
US

V. Phone/Fax

Practice location:
  • Phone: 941-925-3490
  • Fax:
Mailing address:
  • Phone: 941-925-3490
  • Fax: 941-953-4452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALAN BABITZ
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 941-925-3490