Organization
IMAGING TEKNIX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT L SHICK MD (OWNER)
(954) 494-3032
Entity
Organization
Contact information
Practice address
3800 JOHNSON STREET, SUITE C, HOLLYWOOD, FL 33021
(954) 962-4700
(954) 962-1707
Mailing address
4251 MANGRUM CT, HOLLYWOOD, FL 33021-2419
(954) 494-3032
(954) 962-4717
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
EXEMPT
FL
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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