National Provider Identifier Database

BROADER MRI OF BREVARD COUNTY
Magnetic Resonance Imaging Radiologic Technologist

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

BROADER MRI OF BREVARD COUNTY
1930 DAIRY RD
MELBOURNE, FL32904-4046
Phone: 321-241-3627
Fax: 305-418-7498
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging Radiologic Technologist 2471M1202X

* Indicates primary specialty

NPI Profile & details for BROADER MRI OF BREVARD COUNTY

NPI Number 1508573239
Legal business name
LBN
BROADER MRI OF BREVARD COUNTY
Authorized official ANGEL SOTO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/02/2022
Last updated 11/02/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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