| Midtown Imaging LLC | |
|
5405 Okeechobee Blvd Suite 101 West Palm Beach FL 33417-4543 | |
| (561) 697-3001 | |
| (561) 209-6377 |
| Full Name | Midtown Imaging LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5405 Okeechobee Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Kevin G Johnson (CFO) |
| Authorized Official Contact | 5616973001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Imaging LLC Po Box 850001 Orlando FL 32885-0364 Ph: (561) 697-3001 | Midtown Imaging LLC 5405 Okeechobee Blvd Suite 101 West Palm Beach FL 33417-4543 Ph: (561) 697-3001 |
| NPI Number | 1407928419 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407928419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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