Organization
AMERICAN RADIOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MARZANO M.D. (OWNER)
(239) 430-4674
Entity
Organization
Contact information
Practice address
9500 BONITA BEACH RD SE, STE 211, BONITA SPRINGS, FL 34135-4698
(239) 430-4674
(239) 659-6530
Mailing address
2338 IMMOKALEE RD, STE116, NAPLES, FL 34110-1445
(239) 430-4674
(239) 659-6530
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
ME81325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2538
BCBS PROVIDER NUMBER
FL
01
—
V2729
BCBS PROVIDER NUMBER
FL
Enumeration date
04/12/2007
Last updated
08/28/2007
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