Organization
NAPLES DIAGNOSTIC IMAGING CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM BATES (COO)
(239) 262-2708
Entity
Organization
Contact information
Practice address
1715 MEDICAL BLVD, NAPLES, FL 34110-1402
(239) 593-4200
Mailing address
PO BOX 1406, INDIANAPOLIS, IN 46206-1406
(888) 656-6020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060729100
—
FL
01
—
CA8319
RR MEDICARE
FL
Enumeration date
08/18/2005
Last updated
06/10/2013
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