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NPI Code Detail

MEDICARE: A1 IMAGING OF MIAMI LAKES LLC

MEDICARE: A1 IMAGING OF MIAMI LAKES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1043467616
Entity Type Code : Organization
Provider Name (Legal Business Name) : A1 IMAGING OF MIAMI LAKES LLC
Provider Business Mailing Address
First Line : 2 N TAMIAMI TRL
Second Line : SUITE 800
City : SARASOTA
State : FL
Zip : 34236-5574
Country : US
Telephone Number : 941-925-3490
Fax Number : 941-953-4452
Provider Business Practice Location Address
First Line : 15410 NW 77TH CT
Second Line : SUITE 250
City : HIALEAH
State : FL
Zip : 33016-5803
Country : US
Telephone Number : 941-925-3490
Fax Number :
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : ALAN BABITZ
Credential :
Telephone Number : 941-925-3490
Provider Enumeration Date : 08/26/2008
Last Update Date : 08/26/2008

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Directions to “A1 IMAGING OF MIAMI LAKES LLC ” Practice Location

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