Provider Demographics
NPI:1912774837
Name:RAPID IMAGING MRI LLC
Entity Type:Organization
Organization Name:RAPID IMAGING MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANICIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:VICENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-399-9070
Mailing Address - Street 1:PO BOX 530085
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853-0085
Mailing Address - Country:US
Mailing Address - Phone:407-399-9070
Mailing Address - Fax:407-634-3202
Practice Address - Street 1:1313 W FAIRBANKS AVE STE D
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7103
Practice Address - Country:US
Practice Address - Phone:407-399-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service