Provider Demographics
NPI:1134495609
Name:IMAGINACTION IMAGING SOLUTIONS LLC
Entity Type:Organization
Organization Name:IMAGINACTION IMAGING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THIAGO
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRAGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-299-0853
Mailing Address - Street 1:325 S BISCAYNE BLVD
Mailing Address - Street 2:APT 3219
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2306
Mailing Address - Country:US
Mailing Address - Phone:305-299-0853
Mailing Address - Fax:
Practice Address - Street 1:325 S BISCAYNE BLVD
Practice Address - Street 2:APT 3219
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2306
Practice Address - Country:US
Practice Address - Phone:305-299-0853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty