Provider Demographics
NPI:1811384092
Name:ADVANCED RADIOLOGIST IMAGES, INC
Entity type:Organization
Organization Name:ADVANCED RADIOLOGIST IMAGES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:9600 NW 25TH ST STE 3D
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1416
Mailing Address - Country:US
Mailing Address - Phone:800-972-9114
Mailing Address - Fax:866-236-5409
Practice Address - Street 1:9600 NW 25TH ST STE 3D
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1416
Practice Address - Country:US
Practice Address - Phone:800-972-9114
Practice Address - Fax:866-236-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty