PRECISION TELERADIOLOGY LLC NPI 1306194873

NPI Information

NPI: 1306194873
Provider Name: PRECISION TELERADIOLOGY LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
8101 GLENFINNAN CIR
FORT MYERS, FL
ZIP 33912
Phone: (239) 980-4664
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PRECISION TELERADIOLOGY LLC is a radiology clinic center in Fort Myers, FL. PRECISION TELERADIOLOGY LLC NPI is 1306194873. The provider is registered as an organization entity type.

The provider's business location address is:

8101 GLENFINNAN CIR
FORT MYERS, FL
ZIP 33912-013
Phone: (239) 980-4664
Fax: (866) 269-2214

The provider's authorized official is Victor Harley Gregory .
The authorized official title is Owner and has the following contact phone number (239) 980-4664.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 10/12/2012.

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	=========	FLORIDA	No
2	261QR0200X	Clinic/Center	Radiology	L09000051092	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	57595	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: 11/14/2023

NPI Synchronization or Removal

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