Provider Demographics
NPI:1447338645
Name:AMERICAN RADIOLOGY SERVICES INC
Entity type:Organization
Organization Name:AMERICAN RADIOLOGY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MARZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-430-4674
Mailing Address - Street 1:2338 IMMOKALEE RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1445
Mailing Address - Country:US
Mailing Address - Phone:239-430-4674
Mailing Address - Fax:239-430-0055
Practice Address - Street 1:9500 BONITA BEACH RD SE
Practice Address - Street 2:SUITE 211
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4698
Practice Address - Country:US
Practice Address - Phone:239-430-4674
Practice Address - Fax:239-430-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81325261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV2538OtherBCBS COLLIER
FLV2538OtherBCBS COLLIER
FL=========OtherTIN
FLE9089Medicare ID - Type Unspecified