Prime Radiology

LBN: Prime Radiology
Prime Radiology is an health care organization with primary practice located at 1700 Se Hillmore Drive , Port St. Lucie FL 34952. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Prime Radiology can be contacted via phone (772) 335-9600, or through Bong, Jeffrey S via phone (630) 430-5085.

Contact Information

Primary practice address
1700 Se Hillmore Drive Port St. Lucie FL 34952
Phone: (772) 335-9600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bong, Jeffrey S Doctor of Osteopathy (DO)
Phone: (630) 430-5085

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS 11058 Florida

Profile Details

NPI number 1942559869
LBN Legal business name Prime Radiology
DBA Doing business as
Authorized official Bong, Jeffrey S Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2012
Last updated Sep 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942559869 NPPES
Kansas Other 016496019 MEDICARE PTAN
Kansas Other NC0317A334 MEDICARE PTAN
Kansas Other 8L14039 MEDICARE PTAN
Kansas Other 8L24510 MEDICARE PTAN
Kansas Other 114630005 MEDICARE PTAN
Kansas Other 8L24508 MEDICARE PTAN
Kansas Other NC0317A427 MEDICARE PTAN
Kansas Other 229515YFP0 MEDICARE PTAN
Kansas Other TXB137170 MEDICARE PTAN
Kansas Other 1881800621 MEDICARE PTAN
Kansas Other 2021303296 MEDICARE PTAN
Kansas Other MC03179974 MEDICARE PTAN
Kansas Other 8L24509 MEDICARE PTAN

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