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Contact Information

CUSTOM RADIOLOGY SOLUTIONS LLC
13731 METROPOLIS AVE
FORT MYERS, FL33912
 Phone: 239-333-2484
 Fax: 239-333-2483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CUSTOM RADIOLOGY SOLUTIONS LLC

NPI # 1073790291
LBN Legal business name CUSTOM RADIOLOGY SOLUTIONS LLC
Authorized official CHAIM MARGOLIN - (MD/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2008
Last updated 09/26/2011 - About 15 years ago
Identifiers
FL License # ME62306
FL Other ME62306 MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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