CUSTOM RADIOLOGY SOLUTIONS LLC – NPI #1073790291
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CUSTOM RADIOLOGY SOLUTIONS LLC is a radiologist located in FORT MYERS, FL. NPPES has assigned the NPI number 1073790291 to CUSTOM RADIOLOGY SOLUTIONS LLC on January 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 15 years ago on Sep 26, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CUSTOM RADIOLOGY SOLUTIONS LLC below.

NPI Profile for
CUSTOM RADIOLOGY SOLUTIONS LLC

NPI Number
1073790291
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CUSTOM RADIOLOGY SOLUTIONS LLC
Primary location
13731 METROPOLIS AVE
FORT MYERS, FL 33912
Phone: (239) 333-2484 Fax: (239) 333-2483
Mailing address
13300-56 S. CLEVELAND AVE #305
PMB#239
FORT MYERS, FL 33907
Phone: (239) 333-2484 Fax: (239) 333-2483
Organization Subpart
No
Authorized Official
CHAIM MARGOLIN
MD/OWNER
Phone: (239) 333-2484
Updated
Identifiers

Identifiers for CUSTOM RADIOLOGY SOLUTIONS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSEFLME62306
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
FL ME62306

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.