Organization
MRI SCAN CENTER LLC
Active
Other names
MRI Scan & Imaging Centers
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA RT (R)(CT)(MR) (COMPLIANCE OFFICER)
(904) 640-9129
Entity
Organization
Contact information
Practice address
3122 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4327
(954) 772-8000
(954) 776-6356
Mailing address
3122 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4327
(954) 772-8000
(954) 776-6356
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
2790004383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007283
AVMED
FL
05
—
064231200
—
FL
01
—
SG070906
VISTA
FL
01
—
V2442
BC/BS
FL
Enumeration date
09/20/2006
Last updated
06/04/2025
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