| Midtown Imaging Llc | |
|
345 Jupiter Lakes Blvd Suite 100 Jupiter FL 33458-7100 | |
| (561) 748-7477 | |
| (561) 209-6377 |
| Full Name | Midtown Imaging Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 345 Jupiter Lakes Blvd, Jupiter, Florida |
| Authorized Official Name and Position | Kevin G. Johnson (CFO) |
| Authorized Official Contact | 5616973001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Imaging Llc Po Box 850001 Orlando FL 32885-0364 Ph: (561) 697-3001 | Midtown Imaging Llc 345 Jupiter Lakes Blvd Suite 100 Jupiter FL 33458-7100 Ph: (561) 748-7477 |
| NPI Number | 1801965025 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801965025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
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