Custom Radiology Solutions Llc in Fort Myers - Diagnostic Radiology
Custom Radiology Solutions Llc - NPI 1073790291
Custom Radiology Solutions Llc is a Diagnostic Radiology in Fort Myers, Florida. Custom Radiology Solutions Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Custom Radiology Solutions Llc is 1073790291. The last update date is 2011-09-26.
Custom Radiology Solutions Llc's current location address is 13300-56 S. Cleveland Ave #305, Fort Myers, Florida. You can contact this provider via phone number 2393332484 and fax number 2393332483. The mailing address for Custom Radiology Solutions Llc is 13300-56 S. Cleveland Ave #305, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Radiology Solutions Llc |
|---|---|
| Address | 13300-56 S. Cleveland Ave #305, Fort Myers, Florida |
| Phone Number | 2393332484 |
| Fax Number | 2393332483 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD/OWNER |
|---|---|
| Authorized Official Name | Margolin J Chaim |
| Credentials | MD |
| Telephone Number | 2393332484 |
NPI Number Detail
| NPI Number | 1073790291 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
| Address | 13300-56 S. Cleveland Ave #305 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 33907 |
| Phone Number | 2393332484 |
| Fax Number | 2393332483 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME62306 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ME62306 | FL | MEDICAL LICENSE |
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What is the unique provider identifier assigned to Custom Radiology Solutions Llc?
The Custom Radiology Solutions Llc has been issued the NPI (National Provider Identifier) 1073790291 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Custom Radiology Solutions Llc located?
The Custom Radiology Solutions Llc is located at 13300-56 S. Cleveland Ave #305, Fort Myers, FL 33907.
What is Custom Radiology Solutions Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Custom Radiology Solutions Llc is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
When was the Custom Radiology Solutions Llc's 1073790291 issued?
The Custom Radiology Solutions Llc's 1073790291 was issued on 2008-01-30.
When was the information related to Custom Radiology Solutions Llc most recently updated or refreshed?
The details pertaining to the Custom Radiology Solutions Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-26.
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