Provider Demographics
NPI:1336289503
Name:ROCKLEDGE MRI AND PET CENTER LLC
Entity type:Organization
Organization Name:ROCKLEDGE MRI AND PET CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:ASHTER
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS, MD
Authorized Official - Phone:414-801-8609
Mailing Address - Street 1:1910 ROCKLEDGE BLVD
Mailing Address - Street 2:UNIT 102
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3723
Mailing Address - Country:US
Mailing Address - Phone:321-636-6599
Mailing Address - Fax:
Practice Address - Street 1:1910 ROCKLEDGE BLVD
Practice Address - Street 2:UNIT 102
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3723
Practice Address - Country:US
Practice Address - Phone:321-636-6599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography