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.
Organization
BOCA RATON OPEN IMAGING CENTER LLC
Active
Organization
BOCA RATON OPEN IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELLE HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
1601 CLINT MOORE ROAD, SUITE 140, BOCA RATON, FL 33487
(561) 939-0850
(561) 939-0899
Mailing address
1601 CLINT MOORE ROAD, SUITE 140, BOCA RATON, FL 33487
(561) 939-0850
(561) 939-0899
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up