Organization
QUANTUM IMAGING HOLDINGS, LLC
Active
Other names
QUANTUM IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ADAM BURACK D.O. (OWNER)
(954) 985-6490
Entity
Organization
Contact information
Practice address
4560 LANTANA RD, SUITE A, LAKE WORTH, FL 33463-6998
(954) 985-6490
(954) 985-6491
Mailing address
2221 N UNIVERSITY DR STE A, PEMBROKE PINES, FL 33024-3603
(954) 985-6490
(954) 985-6491
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS9851
MEDICAL LICENSE
FL
Enumeration date
07/03/2012
Last updated
07/03/2012
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