National Provider Identifier Database

SPORTS IMAGING CENTERS LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

SPORTS IMAGING CENTERS, LLC
1000 VIRGINIA AVE
FORT PIERCE, FL34982
Phone: 772-466-5050
Fax: 772-467-1003
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for SPORTS IMAGING CENTERS, LLC

NPI Number 1124038732
Legal business name
LBN
SPORTS IMAGING CENTERS, LLC
Authorized official DEBY DUKE - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/08/2006
Last updated 04/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: HCC8031
  • FL Medicaid: 001110400
  • FL Other: V1780 BC
  • FL Other: V1780 BLUE CROSS BLUE SHEILD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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