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Organization
CONCEPT IMAGING, LLC
Active
Organization
CONCEPT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZIN SHIKARA M.D. (PRESIDENT)
(561) 779-1652
Entity
Organization
Contact information
Practice address
3889 MILITARY TRL, SUITE 101, JUPITER, FL 33458-2923
(567) 932-0995
Mailing address
3889 MILITARY TRL STE 105, JUPITER, FL 33458-2923
(567) 932-0995
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
ME94252
FL
Other
Enumeration date
11/22/2016
Last updated
07/23/2021
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