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IMPRESSION IMAGING LLC
NPI 1104637537
Radiology - Diagnostic Radiology in Coral Springs, FL

Active since January 15, 2025CLIA 10D2167592 · Waiver
3111 N UNIVERSITY DR STE 115, CORAL SPRINGS, FL 33065(954) 580-2780(954) 580-2790 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impression Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPRESSION IMAGING LLC (NPI 1104637537) is a healthcare organization registered as a diagnostic radiology in Coral Springs, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Michael Fagien, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104637537
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameIMPRESSION IMAGING LLC
Location Address3111 N UNIVERSITY DR STE 115Coral Springs, FL 33065-5049
Mailing AddressPo Box 21422New York, NY 10087-1422 · (347) 577-9062
Phone(954) 580-2780
Fax(954) 580-2790
Organization SubpartYes
Authorized OfficialMichael FagienMedical Director · (954) 580-2780
Enumeration DateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1104637537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3111 N UNIVERSITY DR STE 115, Coral Springs, FL 33065
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2167592

Impression Imaging · Tamarac, FL
Active · expires Jun 10, 2027
CLIA Number10D2167592
Laboratory TypeImaging Ctr Radiology
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorMichael Fagien
Laboratory Phone(954) 580-2780
Laboratory LocationImpression Imaging7180 N University Dr, Tamarac, FL 33321
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impression Imaging LLC's NPI number?

The NPI number for Impression Imaging LLC is 1104637537. It was assigned to this organization in the NPPES registry on January 15, 2025.

Where is Impression Imaging LLC located?

Impression Imaging LLC is located at 3111 N University Dr Ste 115, Coral Springs, FL 33065. The listed phone number is (954) 580-2780.

What is Impression Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Impression Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2167592) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Impression Imaging LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Impression Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impression Imaging LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.