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Organization
INDEPENDENT IMAGING, LLC
Active
Organization
INDEPENDENT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR HANSEN (OWNER)
(561) 204-4800
Entity
Organization
Contact information
Practice address
5051 S CONGRESS AVE, LAKE WORTH, FL 33461-4704
(561) 795-5558
(561) 792-7300
Mailing address
PO BOX 1313, LOXAHATCHEE, FL 33470-1313
(561) 766-1301
(561) 318-7163
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC9378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V007N
BCBS
FL
Enumeration date
10/17/2013
Last updated
10/17/2013
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