Provider Demographics
NPI:1043666415
Name:NORTHPOINT DIAGNOSTIC GROUP
Entity Type:Organization
Organization Name:NORTHPOINT DIAGNOSTIC GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-807-8552
Mailing Address - Street 1:801 NORTHPOINT PKWY
Mailing Address - Street 2:SUITE P4
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1973
Mailing Address - Country:US
Mailing Address - Phone:561-807-8552
Mailing Address - Fax:561-807-8553
Practice Address - Street 1:801 NORTHPOINT PKWY
Practice Address - Street 2:SUITE P4
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1973
Practice Address - Country:US
Practice Address - Phone:561-807-8552
Practice Address - Fax:561-807-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1169992084N0400X
FLME314792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty