Provider Demographics
NPI:1427679836
Name:HEALTH DIAGNOSTICS OF FORT LAUDERDALE, LLC
Entity type:Organization
Organization Name:HEALTH DIAGNOSTICS OF FORT LAUDERDALE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:W
Authorized Official - Last Name:REIMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-694-2816
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-0170
Mailing Address - Country:US
Mailing Address - Phone:631-694-2816
Mailing Address - Fax:631-390-1780
Practice Address - Street 1:16604 SHERIDAN STREET
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33331
Practice Address - Country:US
Practice Address - Phone:954-688-4040
Practice Address - Fax:954-688-4050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH DIAGNOSTICS OF FORT LAUDERDALE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-27
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty