Basic Information
| Provider Information | |||||||||
| NPI: | 1235884909 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PVL ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2508 | ||||||||
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| City: | COLUMBUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 319022508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055954041 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9555 SW 162ND AVE | ||||||||
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| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331966408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7864672000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2022 | ||||||||
| LastUpdateDate: | 02/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | KATZEN | ||||||||
| AuthorizedOfficialFirstName: | BARRY | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3057025135 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.