Organization
PINES IMAGING CENTER LLC
Active
Organization
PINES IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CHAN-A-SUE (GM)
(954) 530-8824
Entity
Organization
Contact information
Practice address
9696 PINES BLVD, PEMBROKE PINES, FL 33024-6246
(954) 530-8824
(954) 530-8819
Mailing address
9696 PINES BLVD, PEMBROKE PINES, FL 33024-6246
(954) 530-8824
(954) 530-8819
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G16000010749
STATE REGISTRATION NUMBER
FL
Enumeration date
09/16/2016
Last updated
09/16/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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