{"npi":"1194728014","type":"NPI-2","status":"active","name":{"display":"National P E T Scan Broward LLC","other":[],"organization_name":"NATIONAL P E T SCAN BROWARD LLC","authorised_official":"Margie Austin"},"specialty":{"primary_taxonomy":"261QR0200X","primary_taxonomy_description":"Radiology Clinic","slug":"radiology-clinic","schema_org_specialty":"Radiography","all":[{"code":"261QR0200X","description":"Radiology Clinic","primary":true,"state":"FL","license":"HCC5688"}]},"addresses":[{"purpose":"LOCATION","street_1":"6290 N FEDERAL HWY","city":"FT LAUDERDALE","state":"FL","postal_code":"333081917","country_code":"US","phone":"9543323000","fax":"9543322671"},{"purpose":"MAILING","street_1":"6622 SOUTHPOINT DR S","city":"JACKSONVILLE","state":"FL","postal_code":"322168014","country_code":"US","street_2":"SUITE 360","phone":"9043588441","fax":"9043582288"}],"license":{"state":"FL","number":"HCC5688"},"identifiers":[{"type_code":"01","label":"Other","value":"196704","state":"FL","issuer":"WELLCARE"},{"type_code":"01","label":"Other","value":"2630670","state":"FL","issuer":"AETNA - HMO"},{"type_code":"01","label":"Other","value":"593688943","state":"FL","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"CK2451","state":"FL","issuer":"MEDICARE RAILROAD RETIREM"},{"type_code":"01","label":"Other","value":"38830","state":"FL","issuer":"NEIGHBORHOOD"},{"type_code":"01","label":"Other","value":"67826","state":"FL","issuer":"FOUNDATION"},{"type_code":"01","label":"Other","value":"V2274","state":"FL","issuer":"BLUE CROSS BLUE SHIELD FL"},{"type_code":"01","label":"Other","value":"593688943","state":"FL","issuer":"HUMANA"},{"type_code":"01","label":"Other","value":"SG011169","state":"FL","issuer":"VISTA"},{"type_code":"01","label":"Other","value":"6958176-001","state":"FL","issuer":"CIGNA"},{"type_code":"01","label":"Other","value":"7441285","state":"FL","issuer":"AETNA - PPO"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-05-24","last_updated":"2012-12-05","_meta":{"source":"NPPES","snapshot_date":"2012-12-05","doc_url":"https://findmynpi.com/api"}}