GAINESVILLE RADIOLOGY GROUP WEST LLC NPI 1508869405

NPI Information

NPI: 1508869405
Provider Name: GAINESVILLE RADIOLOGY GROUP WEST, LLC

Doing Business As: PUTNAM RADIOLOGY GROUP

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4960 W NEWBERRY RD
STE 280
GAINESVILLE, FL
ZIP 32607
Phone: (352) 371-3336
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GAINESVILLE RADIOLOGY GROUP WEST, LLC is a diagnostic radiology radiology in Gainesville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GAINESVILLE RADIOLOGY GROUP WEST, LLC NPI is 1508869405. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Putnam Radiology Group.

The provider's business location address is:

4960 W NEWBERRY RD
STE 280
GAINESVILLE, FL
ZIP 32607-201
Phone: (352) 371-3336
Fax: (352) 371-3372

The provider's authorized official is Tony Arvesu .
The authorized official title is Managing Member and has the following contact phone number (352) 332-2040.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/22/2020.

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	2085R0202X	Radiology	Diagnostic Radiology	256176	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	V3013	OTHER	FLORIDA	BCBS IDTF NUMBER EAST OFC
2	V2766	OTHER	FLORIDA	BCBS IDTF NUMBER

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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