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Contact Information

SPORTS IMAGING CENTERS, LLC
1000 VIRGINIA AVE
FORT PIERCE, FL34982
 Phone: 772-466-5050
 Fax: 772-467-1003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SPORTS IMAGING CENTERS, LLC

NPI Number 1124038732
LBN Legal business name SPORTS IMAGING CENTERS, LLC
Authorized official DEBY DUKE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2006
Last updated 04/30/2018 - About 8 years ago
Identifiers
FL License # HCC8031
FL Medicaid 001110400
FL Other V1780 BC
FL Other V1780 BLUE CROSS BLUE SHEILD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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