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Organization
PALM BEACH BROWARD MEDICAL IMAGING CENTER, INC.
Active
Organization
PALM BEACH BROWARD MEDICAL IMAGING CENTER, INC.
Active
Other names
Radiology Express
Organization subpart
No
Provider details
NPI number
Authorized official
KAYA COLAK M.D. (OWNER/MEDICAL DIRECTOR)
(954) 426-3006
Entity
Organization
Contact information
Practice address
1500 E HILLSBORO BLVD, SUITE 110, DEERFIELD BEACH, FL 33441-4356
(954) 426-3006
(954) 481-9318
Mailing address
1500 E HILLSBORO BLVD, SUITE 110, DEERFIELD BEACH, FL 33441-4356
(954) 426-3006
(954) 481-9318
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC3645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032120
GHI
NY
01
—
003400
AVMED
FL
01
—
05357A2
CAREPLUS
FL
05
—
065032300
—
FL
01
—
2240778
AETNA
FL
01
—
300022828
MEDICARE RAILROAD
—
01
—
3400023
UNITED HEALTHCARE
FL
01
—
707585
WELLCARE STAYWELL
FL
01
—
AN30474120001
CIGNA
FL
01
—
N1551
HEALTHEASE
FL
01
—
SG017032
VISTA
FL
01
—
V2998
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/07/2006
Last updated
11/10/2015
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