# SUMMIT RADIOLOGY LLC

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

## Provider details

- **NPI number:** 1447420914
- **Authorized official:** MS. NANCY JOHANNA CUESTAS (ADMINISTRATOR)
- **Authorized official phone:** (786) 216-5739

## Contact information

- **Practice address:** 2050 NE 163RD STREET SUITE \#103, NORTH MIAMI BEACH, FL 33162
- **Practice address phone:** (305) 940-1616
- **Practice address fax:** (305) 940-1618
- **Mailing address:** 2050 NE 163RD ST STE 103, NORTH MIAMI BEACH, FL 33162-4904
- **Mailing address phone:** (305) 940-1616
- **Mailing address fax:** (305) 940-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | ME80354 | FL | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 05/27/2008