Healthcare Provider Details

I. General information

NPI: 1023041217
Provider Name (Legal Business Name): X-RAY TECHNOLOGY ENTERPRISE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 SW 27TH AVE SUITE 708
MIAMI FL
33135-2961
US

IV. Provider business mailing address

330 SW 27TH AVE SUITE 708
MIAMI FL
33135-2961
US

V. Phone/Fax

Practice location:
  • Phone: 305-649-0006
  • Fax: 305-649-6492
Mailing address:
  • Phone: 305-649-0006
  • Fax: 305-649-6492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHCC4323
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License NumberHCC4323
License Number StateFL

VIII. Authorized Official

Name: MR. ADAM MURPHY
Title or Position: ADMINISTRATION
Credential:
Phone: 305-649-0006