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PRESTIGE IMAGING LLC NPI 1578503165


NPI Information

NPI: 1578503165
Provider Name: PRESTIGE IMAGING LLC

Doing Business As: PRESTIGE IMAGING AT UNIVERSITY GROVES

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2415 UNIVERSITY PKWY
UNIVERSITY HEALTH PARK, BUILING 3, SUITE 112
SARASOTA, FL
ZIP 34243
Phone: (941) 487-2130
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PRESTIGE IMAGING LLC is a diagnostic radiology radiology in Sarasota, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRESTIGE IMAGING LLC NPI is 1578503165. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prestige Imaging At University Groves.

The provider's business location address is:

2415 UNIVERSITY PKWY
UNIVERSITY HEALTH PARK, BUILING 3, SUITE 112
SARASOTA, FL
ZIP 34243-809
Phone: (941) 487-2130
Fax: (941) 487-2138

The provider's authorized official is Richard Jay Lichtenstein .
The authorized official title is President and has the following contact phone number (941) 487-2550.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 3/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1273488500MEDICAIDFLORIDA
2V3087OTHERFLORIDABCBS
3DE3457OTHERFLORIDARR MEDICARE
4K9123MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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