TRI COUNTY PET LLC NPI 1124020656

NPI Information

NPI: 1124020656
Provider Name: TRI COUNTY PET LLC

Doing Business As: PET IMAGING INSTITUTE OF SOUTH FLORIDA

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1150 N 35TH AVE
SUITE 665
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 981-6668
Get Directions

TRI COUNTY PET LLC is a radiology clinic center in Hollywood, FL. TRI COUNTY PET LLC NPI is 1124020656. The provider is registered as an organization entity type.
The provider Is Doing Business As Pet Imaging Institute Of South Florida.

The provider's business location address is:

1150 N 35TH AVE
SUITE 665
HOLLYWOOD, FL
ZIP 33021-424
Phone: (954) 981-6668
Fax: (954) 981-5944

The provider's authorized official is Lisette Cruz-deno .
The authorized official title is Managing Director and has the following contact phone number (954) 981-6668.

The CLIA number assigned to this NPI record is 10D1007999 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 12/12/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	HCC5507	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E3783B	MEDICARE PIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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