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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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