TRI COUNTY PET LLC NPI 1760602510

NPI Information

  • NPI: 1760602510
  • Provider Name: TRI COUNTY PET LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: PET IMAGING INSTITUTE OF SOUTH FLORIDA
  • CLIA Number: 10D1020174
  • Address: 603 N FLAMINGO RD
    155
    PEMBROKE PINES, FL
    ZIP 33028
  • Phone: (954) 450-2202

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NPI Details

TRI COUNTY PET LLC is a radiology clinic center in Pembroke Pines, FL. TRI COUNTY PET LLC NPI is 1760602510. 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:

603 N FLAMINGO RD
155
PEMBROKE PINES, FL
ZIP 33028-023
Phone: (954) 450-2202
Fax: (954) 450-8401

The provider's authorized official is Lisette Cruz-deno .
The authorized official title is Managing Director and has the following contact phone number (954) 450-2202.

The CLIA number assigned to this NPI record is 10D1020174 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2007 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
1261QR0200XClinic/CenterRadiologyHCC5508FLORIDAYes

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
1E3783BMEDICARE PINFLORIDA

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: 11/21/2025

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