US PET IMAGING LLC (NPI# 1699944801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699944801 |
| Entity Type | Organization |
| Organization Name | US PET IMAGING LLC |
| Other Organization Name | IMAGING FOR LIFE |
| Practice Address |
25097 Olympia Ave Suite 104 Punta Gorda FL 33950-3903 |
| Mailing Address |
Po Box 25487 Sarasota FL 34277-2487 |
| Practice Telephone | 9412551700 |
| Practice Fax Number | 9412551701 |
| Mailing Telephone | 9412551700 |
| Mailing Fax Number | 9413711221 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | INITA BEDI (MANAGER) |
| Authorized Official Telephone | 9412845448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
HCC5827 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Imaging for Life | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316254204 | Us Pet Imaging LLC | Radiology | 25097 Olympia Ave, Suite 104, Punta Gorda, FL 33950-3903 | 2010-09-13 |
| 1962739748 | Us Pet Imaging LLC | Radiology | 3830 Bee Ridge Rd, 100, Sarasota, FL 34233-1105 | 2009-11-16 |
| 1427227636 | Us Pet Imaging LLC | Radiology | 2301 60th Street Ct W, Suite A, Bradenton, FL 34209-5509 | 2008-02-22 |
| 1255373643 | Us Pet Imaging LLC | Radiology | 3830 Bee Ridge Rd, Sarasota, FL 34233-1105 | 2006-06-12 |
| Street Address |
25097 OLYMPIA AVE SUITE 104 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013978964 | Nora Ann Davis | Nurse Practitioner | 25097 Olympia Ave, Suite 202, Punta Gorda, FL 33950-3912 | 2006-03-30 |
| 1609310176 | Rubin Family Medicine | Family Medicine | 25097 Olympia Ave, 203, Punta Gorda, FL 33950-3912 | 2016-12-18 |
| 1316254204 | Us Pet Imaging LLC | Radiology | 25097 Olympia Ave, Suite 104, Punta Gorda, FL 33950-3903 | 2010-09-13 |
| 1609189042 | Mcdonnell Dermatology LLC | Dermatology | 25097 Olympia Ave, Ste 204, Punta Gorda, FL 33950-3903 | 2010-07-14 |
| 1285736611 | Robert A Henning | Physician Assistant | 25097 Olympia Ave, Punta Gorda, FL 33950-3903 | 2006-09-05 |
| 1780697706 | Ricardo R Martinez | Specialist | 25097 Olympia Ave, Punta Gorda, FL 33950-3903 | 2006-08-14 |
| 1003844937 | Jonelle K Mcdonnell | Specialist | 25097 Olympia Ave, Suite 204, Punta Gorda, FL 33950-3903 | 2006-06-29 |
| 1114978343 | Lawrence R Bachle | Emergency Medicine | 25097 Olympia Ave, Suite 107, Punta Gorda, FL 33950-3903 | 2006-05-12 |
| 1811947302 | Larry R Bachle Do Facoep Pa | Emergency Medicine | 25097 Olympia Ave, Suite 107, Punta Gorda, FL 33950-3903 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437459955 | Ukp Solutions LLC | Radiology | 95 Vivante Blvd, Unit 9526, Punta Gorda, FL 33950-2029 | 2010-10-31 |
| 1598848053 | Bruce D Macdonald | Radiology | 36261 Washington Loop Rd., Punta Gorda, FL 33982 | 2006-10-20 |
| 1730146747 | Navix Imaging Inc | Radiology | 329 E Olympia Ave, Punta Gorda, FL 33950-3833 | 2006-04-26 |
| 1538524871 | Port Charlotte Radiology Consultants Pa | Radiology | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2015-12-30 |
| 1427359819 | Molecular Imaging of Florida Pllc | Radiology | 95 Vivante Blvd, Unit 9526, Punta Gorda, FL 33950-2029 | 2010-11-16 |
| 1316254204 | Us Pet Imaging LLC | Radiology | 25097 Olympia Ave, Suite 104, Punta Gorda, FL 33950-3903 | 2010-09-13 |
| 1679716872 | Soca Imaging Inc | Radiology | 329 E Olympia Ave, Punta Gorda, FL 33950-3833 | 2009-04-17 |
| 1972752798 | Soca Imaging Inc | Radiology | 329 E Olympia Ave, Punta Gorda, FL 33950-3833 | 2008-09-17 |
| 1295928927 | Triad Radiology LLC | Radiology | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2007-08-27 |
| 1477630903 | Suncoast Advanced Radiology Associates | Radiology | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2006-11-01 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.