National Provider Identifier Database

OAKRIDGE MEDICAL GROUP
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

OAKRIDGE MEDICAL GROUP
1000 NE 56TH ST
ATTN BUSINESS OFFICE
FORT LAUDERDALE, FL33334-4149
Phone: 954-958-0606
Fax: 954-776-0821
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for OAKRIDGE MEDICAL GROUP

NPI Number 1912051228
Legal business name
LBN
OAKRIDGE MEDICAL GROUP
Authorized official FRITZ PHANORD - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: JR3583900
  • FL Other: 7726045 AETNA PROVIDER ID
  • FL Other: 214355 AMERIGROUP PROVIDER ID
  • FL Other: 280077 AVMED PROVIDER ID
  • FL Other: V2224 BC BS PROVIDER ID
  • FL Other: 221601 FDA#
  • FL Other: 498 TOTAL HLTH CHOICE ID
  • FL Other: 00002536540 02 UNITED HLTHCR ID
  • FL Other: SG067359 VISTA HLTHCR ID

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.

Reviews for OAKRIDGE MEDICAL GROUP

There are currently no reviews for OAKRIDGE MEDICAL GROUP


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