Provider Demographics
NPI:1376906537
Name:RADIOLOGY IMAGING FACILITIES,LLC
Entity Type:Organization
Organization Name:RADIOLOGY IMAGING FACILITIES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-494-3032
Mailing Address - Street 1:4251 MANGRUM CT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2419
Mailing Address - Country:US
Mailing Address - Phone:954-494-3032
Mailing Address - Fax:
Practice Address - Street 1:3800 JOHNSON ST STE C
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6030
Practice Address - Country:US
Practice Address - Phone:954-494-3032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL13000099384261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology