Provider Demographics
NPI:1073966446
Name:PALMS MRI DIAGNOSTIC IMAGING CENTER INC
Entity Type:Organization
Organization Name:PALMS MRI DIAGNOSTIC IMAGING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:I
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-818-0782
Mailing Address - Street 1:3111 NORTH UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-688-7256
Mailing Address - Fax:954-688-7750
Practice Address - Street 1:3111 N UNIVERSITY DR
Practice Address - Street 2:SUITE 115
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5086
Practice Address - Country:US
Practice Address - Phone:954-688-7256
Practice Address - Fax:954-688-7750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology