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Concierge Radiology Group LLC

Clinic/Center, Radiology in Miami Beach, FL. Organization (NPI-2).

NPI number1295487593
StatusActive
Last updated in NPPESJul 7, 2022

Details

NPI
1295487593
Entity type
Organization (NPI-2)
Legal business name
Concierge Radiology Group LLC
Organization subpart
No
Enumeration date
Jan 19, 2022
Certification date
Jul 7, 2022
Last updated
Jul 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0200X Clinic/Center, Radiology––Yes
2085R0202X Radiology, Diagnostic Radiology––

Other names

  • Concierge Radiology Group (Doing Business As)

Practice location

520 West Ave Apt 705
Miami Beach, FL 33139-6797

Phone 516-509-3755

Mailing address

520 West Ave Apt 705
Miami Beach, FL 33139-6797

Phone 516-509-3755

Authorized official

Gustavo Pantol
Employee
5165093755

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