Organization
LIFESPAN BREAST AND IMAGING CENTER LLC
Active
Organization
LIFESPAN BREAST AND IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DEYONKER (CHIEF MARKETING & IT OFFICER)
(917) 553-3347
Entity
Organization
Contact information
Practice address
321 15TH ST, WEST PALM BEACH, FL 33401-2734
(917) 553-3347
Mailing address
321 15TH ST, WEST PALM BEACH, FL 33401-2734
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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