# HENDRY DIAGNOSTIC IMAGING CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295862605
- **Authorized official:** VICTOR C BASILE (DIRECTOR)
- **Authorized official phone:** (863) 983-1103

## Contact information

- **Practice address:** 1008 W SAGAMORE AVE, CLEWISTON, FL 33440-3420
- **Practice address phone:** (863) 983-1103
- **Practice address fax:** (863) 983-0307
- **Mailing address:** PO BOX 151908, CAPE CORAL, FL 33915-1908
- **Mailing address phone:** (239) 242-5237
- **Mailing address fax:** (239) 242-7274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 02/01/2008