Organization
PALM BEACH BROWARD MEDICAL IMAGING CENTER, INC.
Active
Other names
Radiology Express
Organization subpart
No
Provider details
NPI number
Authorized official
KAYA COLAK M.D. (OWNER/MEDICAL DIRECTOR)
(954) 426-3006
Entity
Organization
Contact information
Practice address
1500 E HILLSBORO BLVD, SUITE 110, DEERFIELD BEACH, FL 33441-4356
(954) 426-3006
(954) 481-9318
Mailing address
1500 E HILLSBORO BLVD, SUITE 110, DEERFIELD BEACH, FL 33441-4356
(954) 426-3006
(954) 481-9318
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC3645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032120
GHI
NY
01
—
003400
AVMED
FL
01
—
05357A2
CAREPLUS
FL
05
—
065032300
—
FL
01
—
2240778
AETNA
FL
01
—
300022828
MEDICARE RAILROAD
—
01
—
3400023
UNITED HEALTHCARE
FL
01
—
707585
WELLCARE STAYWELL
FL
01
—
AN30474120001
CIGNA
FL
01
—
N1551
HEALTHEASE
FL
01
—
SG017032
VISTA
FL
01
—
V2998
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/07/2006
Last updated
11/10/2015
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