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NPI Code Detail

MEDICARE: DIAGNOSTIC IMAGING SERVICES INC

MEDICARE: DIAGNOSTIC IMAGING SERVICES INC
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
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457540064
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAGNOSTIC IMAGING SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 4
Second Line :
City : STUART
State : FL
Zip : 34995-0004
Country : US
Telephone Number : 772-220-1391
Fax Number : 772-220-4087
Provider Business Practice Location Address
First Line : 1796 HIGHWAY 441 N
Second Line :
City : OKEECHOBEE
State : FL
Zip : 34972-1918
Country : US
Telephone Number : 772-220-1391
Fax Number : 772-220-4087
Authorized Official
Title or Position : PRESIDENT
Name : DR. ERIC ALEXANDER PFEIFFER
Credential : M.D.
Telephone Number : 772-220-1391
Provider Enumeration Date : 10/19/2007
Last Update Date : 09/10/2008

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Directions to “DIAGNOSTIC IMAGING SERVICES INC ” Practice Location

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