Organization
HALLANDALE OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES V. VIRGILIO D.C. (PRESIDENT)
(954) 983-8382
Entity
Organization
Contact information
Practice address
3101 W HALLANDALE BEACH BLVD, SUITE 101, HALLANDALE, FL 33009-5160
(954) 983-8382
(954) 983-8665
Mailing address
3101 W HALLANDALE BEACH BLVD, SUITE 101, HALLANDALE, FL 33009-5160
(954) 983-8382
(954) 983-8665
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC5496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386256
JCAHO
FL
01
—
HCC5496
AHCA
FL
01
—
V2608
BCBS-OUT OF NETWORK
FL
Enumeration date
09/20/2006
Last updated
04/19/2011
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