CMS-1500 Box 24J / 33a • NPI
1124624713
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QR0208X (CMS 45)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1000 E ATLANTIC BLVD STE 204, POMPANO BEACH, FL, 33060-7427
✓ 9-Digit EDI 837 ZIP+4 (33060-7427)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124624713 (ACCUMEDIC DIAGNOSTIC MGNT LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124624713 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACCUMEDIC DIAGNOSTIC MGNT LLC |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QR0208X (Clinic/Center, Radiology, Mobile) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 1000 E ATLANTIC BLVD STE 204, POMPANO BEACH, FL, 33060-7427 |
| Practice Telephone / Fax | Tel: (844) 954-2228 |
| Administrative Mailing Address | 1000 EAST ATLANTIC BLVD, POMPANO BEACH, FL, 33060 |
| Enumeration & Last Sync | Enumerated: 2020-12-08 | CMS Record Updated: 2022-11-03 |
| Authorized Official | EMAN DESIR (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QR0208X)
What Does Taxonomy Code 261QR0208X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0208X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACCUMEDIC DIAGNOSTIC MGNT LLC)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207KA0200X — Allergy & Immunology, AllergyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Allergy | State: N/A | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
207RP1001X — Internal Medicine, Pulmonary DiseasePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: N/A | License: Verified | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: N/A | License: Verified | Primary: Secondary |
2085U0001X — Radiology, Diagnostic UltrasoundPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Diagnostic Ultrasound | State: N/A | License: Verified | Primary: Secondary |
2471S1302X — Radiologic Technologist, SonographyPlain English: Licensed & Credentialed Radiologic Technologist, Sonography | State: N/A | License: Verified | Primary: Secondary |
261QR0208X — Clinic/Center, Radiology, MobilePlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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