Organization
IMED DIAGNOSTIC SERVICES OF SOUTHWEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN STERNBERG (MANAGING PARTNER)
(239) 597-5530
Entity
Organization
Contact information
Practice address
5650 STRAND CT, NAPLES, FL 34110-3343
(239) 597-5530
(239) 597-7825
Mailing address
5650 STRAND CT, NAPLES, FL 34110-3343
(239) 597-5530
(239) 597-7825
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC7586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2925
BLUECROSS PROVIDER
FL
Enumeration date
11/20/2006
Last updated
02/11/2009
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