Provider Demographics
NPI:1619909686
Name:EIBER RADIOLOGY INC
Entity Type:Organization
Organization Name:EIBER RADIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:EIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-557-0330
Mailing Address - Street 1:5210 BELFORT RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6024
Mailing Address - Country:US
Mailing Address - Phone:904-281-7600
Mailing Address - Fax:904-281-7601
Practice Address - Street 1:5210 BELFORT RD
Practice Address - Street 2:SUITE 130
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6024
Practice Address - Country:US
Practice Address - Phone:904-281-7600
Practice Address - Fax:904-281-7601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3166AMedicare PIN