BROADER MRI OF FT PIERCE, LLC – NPI #1376240101
Radiology

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

Health Care Provider Taxonomy Code for Radiology

BROADER MRI OF FT PIERCE, LLC is a radiologist located in FT.PIERCE, FL. NPPES has assigned the NPI number 1376240101 to BROADER MRI OF FT PIERCE, LLC on February 13, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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 BROADER MRI OF FT PIERCE, LLC below.

NPI Profile for
BROADER MRI OF FT PIERCE, LLC

NPI Number
1376240101
Enumeration Date

(more than 3 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
BROADER MRI OF FT PIERCE, LLC
Primary location
2725 PETERS RD #37
FT.PIERCE, FL 34948
Phone: (954) 966-3600 Fax: (954) 967-1962
Mailing address
BROADER MRI OF FT PIERCE, LLC
4224 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021
Phone: (954) 966-3600 Fax: (954) 967-1962
Organization Subpart
No
Authorized Official
ANGEL SOTO
OWNER, PRESIDENT
Phone: (954) 966-3600
Updated
Certification Date
Feb 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)
261QR0200X
- Clinic/Center / Radiology
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI)
261Q00000X
- Clinic/Center

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.