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1689499865 NPI number — MARC IMAGING GROUP LLC

NPI Number: 1689499865
Health Care Provider/Practitioner: MARC IMAGING GROUP LLC

Information about “1689499865” NPI (MARC IMAGING GROUP LLC) exists in 1689499865 in HTML format HTML  |  1689499865 in plain Text format TXT  |  1689499865 in PDF (Portable Document Format) PDF  |  1689499865 in an XML format XML  formats.

NPI Number : 1689499865 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689499865",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MARC IMAGING GROUP LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "155528 WEST COLONIAL DRIVE",
    "SecondLineMailingAddress": "BUILDING F/SUITE A",
    "MailingAddressCityName": "WINTER GARDEN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34787",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-674-9600",
    "MailingAddressFaxNumber": "407-557-9404",
    "FirstLinePracticeLocationAddress": "15528 W COLONIAL DR STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER GARDEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34787-9567",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-674-9600",
    "PracticeLocationAddressFaxNumber": "407-557-9404",
    "EnumerationDate": "11/21/2024",
    "LastUpdateDate": "11/21/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ERICKSON",
    "AuthorizedOfficialFirstName": "CARL",
    "AuthorizedOfficialMiddleName": "LEE",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RT (R)(MR)",
    "AuthorizedOfficialTelephoneNumber": "407-312-5384",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1200X",
        "TaxonomyName": "Magnetic Resonance Imaging (MRI) Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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