Provider Demographics
NPI:1700043080
Name:NATIONWIDE IMAGING INC
Entity Type:Organization
Organization Name:NATIONWIDE IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-448-3597
Mailing Address - Street 1:5722 S FLAMINGO ROAD
Mailing Address - Street 2:318
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33330
Mailing Address - Country:US
Mailing Address - Phone:954-448-3597
Mailing Address - Fax:954-438-8812
Practice Address - Street 1:5722 S FLAMINGO RD
Practice Address - Street 2:318
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-3206
Practice Address - Country:US
Practice Address - Phone:954-448-3597
Practice Address - Fax:954-438-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty