1851484141 NPI number — RADIOLOGY CONSULTANTS OF PALM BEACH

Table of content: (NPI 1851484141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851484141 NPI number — RADIOLOGY CONSULTANTS OF PALM BEACH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RADIOLOGY CONSULTANTS OF PALM BEACH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851484141
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2450 HOLLYWOOD BLVD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33020-6624
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-929-3400
Provider Business Mailing Address Fax Number:
954-929-2001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6766 FOREST HILL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENACRES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33413-3321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-966-2270
Provider Business Practice Location Address Fax Number:
561-966-9837
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRNJA
Authorized Official First Name:
VLADIMIR
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-929-3400

Provider Taxonomy Codes

  • Taxonomy code: 261QR0206X , with the licence number:  ME20137 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com