Radiology Regional Center, Pa

LBN: Radiology Regional Center, Pa
Radiology Regional Center, Pa is an health care organization with primary practice located at 805 Del Prado Blvd S , Cape Coral FL 33990-2666. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Regional Center, Pa can be contacted via phone (239) 458-1744, or through Krivisky, Brian A via phone (239) 936-2316.

Contact Information

Primary practice address
805 Del Prado Blvd S Cape Coral FL 33990-2666
Phone: (239) 458-1744
Fax: (239) 458-1955
Website:
Map and Directions
Authorized official contact:
Name: Krivisky, Brian A Doctor of Medicine (MD)
Phone: (239) 936-2316

Health care specialties

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

Profile Details

NPI number 1962178764
LBN Legal business name Radiology Regional Center, Pa
DBA Doing business as
Authorized official Krivisky, Brian A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2021
Last updated Aug 20th, 2021 - about 3 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 1962178764 NPPES
Florida MEDICAID 054636411

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