Provider Demographics
NPI:1275845315
Name:JUBER IMAGING INC
Entity Type:Organization
Organization Name:JUBER IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARRT (PRESIDENT )
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-338-0298
Mailing Address - Street 1:4995 NW 72ND AVE
Mailing Address - Street 2:SUITE 303 A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5643
Mailing Address - Country:US
Mailing Address - Phone:305-406-2131
Mailing Address - Fax:305-406-2132
Practice Address - Street 1:4995 NW 72ND AVE
Practice Address - Street 2:SUITE 303 A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-5643
Practice Address - Country:US
Practice Address - Phone:305-406-2131
Practice Address - Fax:305-406-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT69923261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile