# DIVERSITY MRI LLC

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

## Provider details

- **NPI number:** 1346746179
- **Authorized official:** JOSHUA A RUSKIN (OWNER)
- **Authorized official phone:** (954) 347-2242

## Contact information

- **Practice address:** 801 S UNIVERSITY DR STE K103A, PLANTATION, FL 33324-3367
- **Practice address phone:** (954) 905-7217
- **Practice address fax:** (954) 905-7217
- **Mailing address:** 801 S UNIVERSITY DR STE K103A, PLANTATION, FL 33324-3367
- **Mailing address phone:** (954) 905-7217
- **Mailing address fax:** (954) 905-7218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | L17000172498 | FL | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | L17000172498 | FL | Yes |

## Other

- **Enumeration date:** 04/02/2018
- **Last updated:** 06/21/2024