Radiology Regional Center, Pa

LBN: Radiology Regional Center, Pa
Radiology Regional Center, Pa is an health care organization with primary practice located at 9776 Bonita Beach Rd Se Ste 100 , Bonita Springs FL 34135-4773. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Regional Center, Pa can be contacted via phone (239) 444-2200, or through Krivisky, Brian A via phone (239) 936-2316.

Contact Information

Primary practice address
9776 Bonita Beach Rd Se Ste 100 Bonita Springs FL 34135-4773
Phone: (239) 444-2200
Fax: (239) 444-2210
Website:
Map and Directions
Authorized official contact:
Name: Krivisky, Brian A Doctor of Medicine (MD)
Phone: (239) 936-2316

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1174299978
LBN Legal business name Radiology Regional Center, Pa
DBA Doing business as
Authorized official Krivisky, Brian A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2021
Last updated Aug 20th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174299978 NPPES
Florida MEDICAID 054636414

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