# FOUNTAIN IMAGING OF WEST PALM BEACH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FOUNTAIN IMAGING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619033354
- **Authorized official:** KRISTI LYNN HEBERT (ADMINISTRATOR)
- **Authorized official phone:** (561) 688-7309

## Contact information

- **Practice address:** 5841 CORPORATE WAY, SUITE \#101, WEST PALM BEACH, FL 33407-2039
- **Practice address phone:** (561) 688-7309
- **Practice address fax:** (561) 688-7310
- **Mailing address:** 5841 CORPORATE WAY, SUITE \#101, WEST PALM BEACH, FL 33407-2039
- **Mailing address phone:** (561) 688-7309
- **Mailing address fax:** (561) 688-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | HCC4508 | FL | Yes |

## Other

- **Enumeration date:** 12/28/2006
- **Last updated:** 08/22/2020