National Provider Identifier Database

PRIME RADIOLOGY OF LEESBURG INC
Diagnostic Radiology

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


Contact Information

PRIME RADIOLOGY OF LEESBURG INC
600 N W BLVD
SUITE E
LEESBURG, FL34748
Phone: 863-535-5544
Fax: 321-348-5777
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for PRIME RADIOLOGY OF LEESBURG INC

NPI Number 1497202675
Legal business name
LBN
PRIME RADIOLOGY OF LEESBURG INC
Authorized official THOMAS BROWN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/06/2016
Last updated 09/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME62144

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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