Organization
IMPRESSION IMAGING LLC
Active
Organization
IMPRESSION IMAGING LLC
Active
Parent organization
IMPRESSION IMAGING LLC
Other names
Impression Imaging LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPRESSION IMAGING LLC
Authorized official
MICHAEL FAGIEN MD (MEDICAL DIRECTOR)
(954) 580-2780
Entity
Organization
Contact information
Practice address
6853 SW 18TH ST STE M101, BOCA RATON, FL 33433-7056
(561) 473-4610
(954) 580-2790
Mailing address
PO BOX 21422, NEW YORK, NY 10087-1422
(954) 580-2780
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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