CORAL HILLS IMAGING LLC NPI 1114535762

NPI Information

NPI: 1114535762
Provider Name: CORAL HILLS IMAGING LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 10D0722060

Address:
9690 W SAMPLE RD STE 103
CORAL SPRINGS, FL
ZIP 33065
Phone: (954) 346-8800
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CORAL HILLS IMAGING LLC is a radiology clinic center in Coral Springs, FL. CORAL HILLS IMAGING LLC NPI is 1114535762. The provider is registered as an organization entity type.

The provider's business location address is:

9690 W SAMPLE RD STE 103
CORAL SPRINGS, FL
ZIP 33065-031
Phone: (954) 346-8800
Fax: (954) 346-8280

The provider's authorized official is Luis F Gutierrez .
The authorized official title is Owner and has the following contact phone number (954) 410-8646.

The CLIA number assigned to this NPI record is 10D0722060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2020 and was last updated on 7/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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