Provider Demographics
NPI:1730330648
Name:BOYLE IMAGING, LLC
Entity type:Organization
Organization Name:BOYLE IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:RCS, RVS
Authorized Official - Phone:352-490-5624
Mailing Address - Street 1:11050 NW 88TH TER
Mailing Address - Street 2:
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32626-3942
Mailing Address - Country:US
Mailing Address - Phone:352-490-5624
Mailing Address - Fax:352-490-5653
Practice Address - Street 1:11050 NW 88TH TER
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-3942
Practice Address - Country:US
Practice Address - Phone:352-490-5624
Practice Address - Fax:352-490-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00025969246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty