Organization
NATIONAL IMAGING AND URGENT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETE TYNDALE (PRESIDENT)
(954) 915-3028
Entity
Organization
Contact information
Practice address
3601 W COMMERCIAL BLVD, SUITE 20, FORT LAUDERDALE, FL 33309-3300
(954) 915-3028
(954) 714-6078
Mailing address
3601 W COMMERCIAL BLVD, SUITE 20, FORT LAUDERDALE, FL 33309-3300
(954) 915-3028
(954) 714-6078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME84420
FL
208100000X
Physical Medicine & Rehabilitation Physician
PT27280
FL
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
ME84420
FL
363LF0000X
Family Nurse Practitioner
ARNP2810312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP2810312
MEDICAL LICENSE
FL
01
—
ME037878
MEDICAL LICENSE
FL
01
—
ME84420
MEDICAL LICENSE
FL
01
—
PT27280
MEDICAL LICENSE
FL
Enumeration date
03/23/2012
Last updated
04/21/2015
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