Organization
NATIONAL MEDICAL IMAGING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH EDWARD WHALEN (PRACTICE CONSULTANT)
(954) 557-4377
Entity
Organization
Contact information
Practice address
2620 NW 15TH CT, POMPANO BEACH, FL 33069-1525
(954) 353-5651
(954) 977-4144
Mailing address
2620 NW 15TH CT, POMPANO BEACH, FL 33069-1525
(954) 353-5651
(954) 977-4144
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QM1200X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8864
FLOIRDA AGENCY FOR HEALTHCARE CLINIC REGISTRATION
FL
Enumeration date
09/28/2010
Last updated
09/28/2010
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