Organization
UNIVERSIITY IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL H RENE (SENIOR MEMBER)
(561) 713-0232
Entity
Organization
Contact information
Practice address
325 S DIXIE HWY STE 7, LAKE WORTH, FL 33460-4423
(561) 819-9106
(561) 469-6719
Mailing address
325 S DIXIE HWY STE 7, LAKE WORTH, FL 33460-4423
(561) 819-9106
(561) 469-6719
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
AUTO
—
01
—
8551514324
AUTO
FL
Enumeration date
10/12/2020
Last updated
10/12/2020
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