MEDICARE: A1 IMAGING CENTERS 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
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1629216510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 IMAGING CENTERS 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	:	17482 NORTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-1024
Country	:	US
Telephone Number	:	713-856-5955
Fax Number	:	713-856-7107

Authorized Official
Title or Position	:	SVP
Name	:	ALAN BABITZ
Credential	:
Telephone Number	:	941-925-3490

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	01/30/2009

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