Provider Demographics
NPI:1902829369
Name:DIGITAL MEDICAL IMAGING LLC
Entity Type:Organization
Organization Name:DIGITAL MEDICAL IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-923-2000
Mailing Address - Street 1:20601 E DIXIE HWY STE 350
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1549
Mailing Address - Country:US
Mailing Address - Phone:786-923-2000
Mailing Address - Fax:786-923-2001
Practice Address - Street 1:20601 E DIXIE HWY STE 350
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1549
Practice Address - Country:US
Practice Address - Phone:786-923-2000
Practice Address - Fax:786-923-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU2491Medicare ID - Type Unspecified