PEMBROKE WEST DIAGNOSTIC IMAGING INC
NPI 1689706863
Clinic/Center - Radiology in Hollywood, FL

Active since March 12, 2007
11011 SHERIDAN ST, SUITE 101, HOLLYWOOD, FL 33026(954) 443-8010(305) 412-8265 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pembroke West Diagnostic Imaging Inc NPPES

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

PEMBROKE WEST DIAGNOSTIC IMAGING INC (NPI 1689706863) is a healthcare organization registered as a radiology in Hollywood, Florida and active in the NPI registry since March 2007. The organization lists Stephen E Cianciulli, President, as its authorized official.

NPPES Registry Identity

NPI1689706863
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePEMBROKE WEST DIAGNOSTIC IMAGING INC
Location Address11011 SHERIDAN ST, SUITE 101Hollywood, FL 33026-1505
Mailing Address11011 Sheridan St, Suite 101Hollywood, FL 33026-1505 · (954) 443-8010 · Fax (305) 412-8265
Fax(305) 412-8265
Organization SubpartNo
Authorized OfficialStephen E CianciulliPresident · (305) 275-6069
Enumeration DateMarch 12, 2007
Last NPPES UpdateMay 13, 2008
NPI 1689706863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
11011 SHERIDAN ST, Hollywood, FL 33026

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 10D0683924

Pembroke Pines Dialysis · Pembroke Pines, FL
Active · expires Aug 31, 2026
CLIA Number10D0683924
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSteven Zeig
Laboratory Phone(954) 435-6145
Laboratory LocationPembroke Pines Dialysis10970 Pines Blvd # 70, Pembroke Pines, FL 33026
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
11011 SHERIDAN ST, SUITE 311
COOPER CITY, FL 33026
Occupational Therapist (Pediatrics)
11011 SHERIDAN ST, SUITE 302
COOPER CITY, FL 33026
Family Medicine
11011 SHERIDAN ST, SUITE 105
HOLLYWOOD, FL 33026
Clinic/Center (Radiology)
11011 SHERIDAN ST, SUITE 101
HOLLYWOOD, FL 33026
Occupational Therapist (Pediatrics)
11011 SHERIDAN ST, SUITE 302
HOLLYWOOD, FL 33026
Clinic/Center (Radiology)
11011 SHERIDAN ST, SUITE 101
HOLLYWOOD, FL 33026
Nurse Anesthetist, Certified Registered
11011 SHERIDAN ST, SUITE 106
HOLLYWOOD, FL 33026
Ophthalmology
11011 SHERIDAN ST, SUITE 215
HOLLYWOOD, FL 33026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689706863, enumerated as an "organization" on March 12, 2007.

The provider is located at 11011 SHERIDAN ST SUITE 101 HOLLYWOOD, FL 33026 and the phone number is (954) 443-8010.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.