Provider Demographics
NPI:1518929025
Name:FOCUS IMAGING GROUP, INC.
Entity Type:Organization
Organization Name:FOCUS IMAGING GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-977-8508
Mailing Address - Street 1:2000 BANKS ROAD #213C
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-7764
Mailing Address - Country:US
Mailing Address - Phone:954-977-8508
Mailing Address - Fax:954-977-0412
Practice Address - Street 1:2000 BANKS ROAD #213C
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7764
Practice Address - Country:US
Practice Address - Phone:954-977-8508
Practice Address - Fax:954-977-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4847261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile