Provider Demographics
NPI:1093437386
Name:HEALTH DIAGNOSTICS OF FORT LAUDERDALE LLC
Entity Type:Organization
Organization Name:HEALTH DIAGNOSTICS OF FORT LAUDERDALE LLC
Other - Org Name:STAND-UP MRI AND 3T IMAGING OF CASSELBERRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER/MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:W
Authorized Official - Last Name:REIMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-694-2816
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-0170
Mailing Address - Country:US
Mailing Address - Phone:631-694-2816
Mailing Address - Fax:
Practice Address - Street 1:2915 LAKEVIEW DR STE 1041
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730-2056
Practice Address - Country:US
Practice Address - Phone:407-987-4001
Practice Address - Fax:407-987-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)