Organization
AMERICAN DIAGNOSTIC MEDICINE
Active
Other names
OPEN MRI OF BEVERLY HILLS
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR RIVERA RT (TECHNOLOGIST/MANAGER)
(352) 527-9333
Entity
Organization
Contact information
Practice address
3537 N LECANTO HWY, BEVERLY HILLS, FL 34465-3502
(352) 527-9333
(352) 527-2482
Mailing address
PO BOX 6465, TITUSVILLE, FL 32782-6465
(352) 527-9333
(352) 527-2482
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC5650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2381
BLUE SHIELD
FL
Enumeration date
08/28/2006
Last updated
08/22/2020
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