| Universiity Imaging Center Llc | |
|
325 S Dixie Hwy Ste 7 Lake Worth FL 33460-4423 | |
| (561) 819-9106 | |
| (561) 469-6719 |
| Full Name | Universiity Imaging Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 325 S Dixie Hwy Ste 7, Lake Worth, Florida |
| Authorized Official Name and Position | Carl H Rene (SENIOR MEMBER) |
| Authorized Official Contact | 5617130232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universiity Imaging Center Llc 325 S Dixie Hwy Ste 7 Lake Worth FL 33460-4423 Ph: (561) 819-9106 | Universiity Imaging Center Llc 325 S Dixie Hwy Ste 7 Lake Worth FL 33460-4423 Ph: (561) 819-9106 |
| NPI Number | 1912505066 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912505066 | NPI | - | NPPES |
| 8551514324 | Other | FL | AUTO |
| 00000 | Other | AUTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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