MEDICARE: BEST IMAGING GROUP 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
1	261Q00000X	Clinic/Center	AHCA# 5676	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00078482	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V2545	OTHER	FL	BLUECROSS/BLUESHIELD
2	1740	OTHER		TOTAL HEALTH CHOICE
3	191103	OTHER	FL	HEALTHEASE
5	V2545	OTHER	FL	HEALTH OPTIONS
6	2080866	OTHER		FIRST HEALTH
7	1041052	OTHER		CAREPLUS
8	191103	OTHER		WELLCARE
9	191103	OTHER	FL	STAYWELL
10	41002	OTHER		NEIGHBORHOOD HEALTH

General Provider Information

NPI Number	:	1659335503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST IMAGING GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 30566
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33303-0566
Country	:	US
Telephone Number	:	954-946-3433
Fax Number	:	954-946-3464

Provider Business Practice Location Address
First Line	:	601 E SAMPLE RD
Second Line	:	SUITE 103
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-4443
Country	:	US
Telephone Number	:	954-946-3433
Fax Number	:	954-946-3464

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. DANIEL M QUADARA
Credential	:	R.D.M.S.
Telephone Number	:	954-946-3433

Provider Enumeration Date	:	04/15/2006
Last Update Date	:	06/21/2018

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