Provider Demographics
NPI:1528042314
Name:ADVANCED MEDICAL IMAGING CORP
Entity Type:Organization
Organization Name:ADVANCED MEDICAL IMAGING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-817-3300
Mailing Address - Street 1:15100 NW 67TH AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2102
Mailing Address - Country:US
Mailing Address - Phone:305-817-3300
Mailing Address - Fax:305-817-3939
Practice Address - Street 1:15100 NW 67TH AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2102
Practice Address - Country:US
Practice Address - Phone:305-817-3300
Practice Address - Fax:305-817-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC53942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAMI1000OtherDOCTOR CARE
FL7352643OtherAETNA
FLV2918OtherBLUE CROSS BLUE SHIELD
FLAMI1000OtherDOCTOR CARE