Provider Demographics
NPI:1295908218
Name:NU TECH IMAGING, INC.
Entity type:Organization
Organization Name:NU TECH IMAGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:SOPHI
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-571-7707
Mailing Address - Street 1:6574 N STATE ROAD 7
Mailing Address - Street 2:SUITE 177
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3625
Mailing Address - Country:US
Mailing Address - Phone:954-571-7707
Mailing Address - Fax:954-571-8801
Practice Address - Street 1:4661 JOHNSON RD
Practice Address - Street 2:SUITE 4
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4363
Practice Address - Country:US
Practice Address - Phone:954-571-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7908261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center