Organization
PRESGAR IMAGING OF CMI SOUTH LC
Active
Other names
Central Magnetic Imaging South
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD THORPE (DIRECTOR OF OPERATIONS/OWNER)
(727) 342-2363
Entity
Organization
Contact information
Practice address
4860 SW 72ND AVE, MIAMI, FL 33155-5526
(305) 663-2800
(305) 662-3881
Mailing address
PO BOX 1505, PINELLAS PARK, FL 33780-1505
(727) 342-2363
(727) 342-0025
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC7367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001596
RAILROAD MEDICARE
FL
Enumeration date
12/28/2005
Last updated
06/17/2009
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