Provider Demographics
NPI:1811384092
Name:ADVANCED RADIOLOGIST IMAGES, INC
Entity Type:Organization
Organization Name:ADVANCED RADIOLOGIST IMAGES, INC
Other - Org Name:ARIS MOBILE X-RAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FANNY
Authorized Official - Middle Name:ESMERALDA
Authorized Official - Last Name:VIGNOLO
Authorized Official - Suffix:
Authorized Official - Credentials:(RT)(R)(CT)(MR)
Authorized Official - Phone:954-716-4223
Mailing Address - Street 1:1891 SW 118TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5627
Mailing Address - Country:US
Mailing Address - Phone:800-972-9114
Mailing Address - Fax:866-430-6551
Practice Address - Street 1:1891 SW 118TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-5627
Practice Address - Country:US
Practice Address - Phone:800-972-9114
Practice Address - Fax:866-430-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty