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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for PRIME RADIOLOGY OF LEESBURG INC

NPI # 1497202675
LBN Legal business name PRIME RADIOLOGY OF LEESBURG INC
Authorized official THOMAS BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2016
Last updated 09/06/2016 - About 10 years ago
Identifiers
FL License # ME62144
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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