Healthcare Provider Details

I. General information

NPI: 1124111414
Provider Name (Legal Business Name): QMG LLC DBA INSITE RADIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9050 PINES BLVD STE 160
PEMBROKE PINES FL
33024-6400
US

IV. Provider business mailing address

210 S FEDERAL HWY STE 403
HOLLYWOOD FL
33020-6811
US

V. Phone/Fax

Practice location:
  • Phone: 954-431-7627
  • Fax: 954-431-7733
Mailing address:
  • Phone: 954-929-3400
  • Fax: 954-929-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License NumberME20137
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK GRNJA
Title or Position: PRESIDENT
Credential:
Phone: 954-929-3400