Organization
IMPRESSION IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FAGIEN MD (MEDICAL DIRECTOR)
(954) 580-2780
Entity
Organization
Contact information
Practice address
7180 N UNIVERSITY DR, TAMARAC, FL 33321-2916
(954) 580-2780
Mailing address
7180 N UNIVERSITY DR, TAMARAC, FL 33321-2916
(954) 580-2780
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/21/2025
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