Organization
INDEPENDENT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR HANSEN (MANAGING PARTNER)
(561) 766-1300
Entity
Organization
Contact information
Practice address
3385 BURNS RD, SUITE 109, PALM BEACH GARDENS, FL 33410-4328
(561) 795-5558
(561) 792-7300
Mailing address
PO BOX 1313, LOXAHATCHEE, FL 33470-1313
(561) 766-1300
(561) 318-7163
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC9289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V006C
BCBS
FL
Enumeration date
10/17/2013
Last updated
10/01/2014
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