=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487924262
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING IMAGING SPECIALISTS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2012
-----------------------------------------------------
Last Update Date | 01/10/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 KNUTH RD
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33436-4629
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-503-2143
-----------------------------------------------------
Fax | 800-503-2055
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 KNUTH RD
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33436-4629
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-503-2143
-----------------------------------------------------
Fax | 800-503-2055
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MGRM
-----------------------------------------------------
Name | MR. YURII MURAVIA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 800-503-2143
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0208X
-----------------------------------------------------
Taxonomy Name | Mobile Radiology Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------