Broward Pet Imaging Center Llc

LBN: Broward Pet Imaging Center Llc
Broward Pet Imaging Center Llc is an health care organization with primary practice located at 4850 West Oakland Park Blvd Suite 1A, Lauderdale Lakes FL 33313. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Broward Pet Imaging Center Llc can be contacted via phone (954) 735-6330, or through Dauer, Edward A via phone (954) 739-0978.

Contact Information

Primary practice address
4850 West Oakland Park Blvd Suite 1A Lauderdale Lakes FL 33313
Phone: (954) 735-6330
Fax: (975) 739-1924
Website:
Map and Directions
Authorized official contact:
Name: Dauer, Edward A
Phone: (954) 739-0978

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1588623904
LBN Legal business name Broward Pet Imaging Center Llc
DBA Doing business as
Authorized official Dauer, Edward A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 11th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588623904 NPPES
Florida MEDICAID 264327800

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