Healthcare Provider Details
I. General information
NPI: 1346450798
Provider Name (Legal Business Name): DCI MRI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1722 S CONGRESS AVE
PALM SPRINGS FL
33461-2140
US
IV. Provider business mailing address
1732 S CONGRESS AVE
PALM SPRINGS FL
33461-2140
US
V. Phone/Fax
- Phone: 561-966-6729
- Fax: 561-966-2272
- Phone: 561-966-6729
- Fax: 561-966-2272
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
FELD
Title or Position: OWNER
Credential:
Phone: 561-966-6729