Organization
PALMS WEST MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR HANSEN (OWNER)
(561) 766-1300
Entity
Organization
Contact information
Practice address
701 S MAIN ST, BELLE GLADE, FL 33430-4201
(561) 996-2000
(561) 996-2008
Mailing address
PO BOX 212738, ROYAL PALM BEACH, FL 33421-2738
(561) 766-1300
(561) 318-7163
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC8896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002891000
—
FL
01
—
V2507
BCBS
FL
Enumeration date
10/31/2005
Last updated
10/01/2014
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