Provider Demographics
NPI:1487499232
Name:EMPIRE IMAGING OF WEST PALM BEACH LL
Entity type:Organization
Organization Name:EMPIRE IMAGING OF WEST PALM BEACH LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PRESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-790-5114
Mailing Address - Street 1:440 COLUMBIA DR STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1801
Mailing Address - Country:US
Mailing Address - Phone:561-918-8184
Mailing Address - Fax:561-408-3601
Practice Address - Street 1:440 COLUMBIA DR STE 105
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1801
Practice Address - Country:US
Practice Address - Phone:561-918-8184
Practice Address - Fax:561-408-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)