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Organization
MIDTOWN IMAGING LLC
Active
Organization
MIDTOWN IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JOHNSON (CHEIF FINANCIAL OFFICER)
(561) 697-3001
Entity
Organization
Contact information
Practice address
5405 OKEECHOBEE BLVD, SUITE 101, WEST PALM BEACH, FL 33417-4543
(561) 697-3001
(561) 697-3284
Mailing address
5405 OKEECHOBEE BLVD, SUITE 101, WEST PALM BEACH, FL 33417-4543
(561) 697-3001
(561) 697-3284
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
JR3001900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853314
CIGNA
FL
01
—
100393
AVMED
FL
01
—
13131
FOUNDATION
FL
01
—
1600555
UNITED
FL
01
—
16566
WELLCARE
FL
01
—
80771
PRINCIPAL
FL
01
—
V2448
BCBS
FL
01
—
V2692
BCBS
FL
01
—
V2965
BCBS
FL
01
—
V2966
BCBS
FL
Enumeration date
05/11/2006
Last updated
09/21/2007
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