# PATH MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Path Medical- MRI Hallandale, Path MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558721811
- **Authorized official:** DR. NEIL BONNARDEL MD (DIRECTOR OF MEDICAL SERVICES)
- **Authorized official phone:** (754) 218-2164

## Contact information

- **Practice address:** 1016 W HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5243
- **Practice address phone:** (954) 456-0080
- **Practice address fax:** (954) 458-9400
- **Mailing address:** 2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1422
- **Mailing address phone:** (754) 218-2164

## Taxonomy

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

## Other

- **Enumeration date:** 03/01/2016
- **Last updated:** 09/09/2019