NATIONAL P.E.T. SCAN PINELLAS LLC NPI 1639172505

NPI Information

NPI: 1639172505
Provider Name: NATIONAL P.E.T. SCAN PINELLAS, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
6600 66TH ST N
STE B
PINELLAS PARK, FL
ZIP 33781
Phone: (904) 358-8441
Get Directions

NATIONAL P.E.T. SCAN PINELLAS, LLC is a radiology clinic center in Pinellas Park, FL. NATIONAL P.E.T. SCAN PINELLAS, LLC NPI is 1639172505. The provider is registered as an organization entity type.

The provider's business location address is:

6600 66TH ST N
STE B
PINELLAS PARK, FL
ZIP 33781-040
Phone: (904) 358-8441
Fax: (727) 471-2197

The provider's authorized official is Margie Faye Austin .
The authorized official title is Administrative Assistant and has the following contact phone number (904) 358-8441.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 12/5/2012.

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	HCC5686	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	2918309	OTHER	FLORIDA	AETNA HMO
2	593688943	OTHER	FLORIDA	HUMANA
3	E7503	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PROVIDER ID
4	202977	OTHER	FLORIDA	WELLCARE
5	3540719-001	OTHER	FLORIDA	CIGNA
6	V2570	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD FL
7	593688943	OTHER	FLORIDA	TRICARE
8	7642379	OTHER	FLORIDA	AETNA NON HMO
9	CK2450	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE RAILROAD RETIREM

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

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