FOUNTAIN IMAGING GROUPLLC NPI 1154487668

NPI Information

  • NPI: 1154487668
  • Provider Name: FOUNTAIN IMAGING GROUP,LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: FOUNTAIN IMAGING
  • Address: 1 NE 167TH ST
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Phone: (305) 770-4343

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NPI Details

FOUNTAIN IMAGING GROUP,LLC is a clinic center in North Miami Beach, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOUNTAIN IMAGING GROUP,LLC NPI is 1154487668. The provider is registered as an organization entity type.
The provider Other Name Is Fountain Imaging.

The provider's business location address is:

1 NE 167TH ST
NORTH MIAMI BEACH, FL
ZIP 33162-402
Phone: (305) 770-4343
Fax: (305) 770-4373

The provider's authorized official is Kristi Lynn Hebert .
The authorized official title is Administrator and has the following contact phone number (305) 770-4343.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterFLORIDAYes

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: 3/30/2025

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