Provider Demographics
NPI:1043700792
Name:CLINICAL POSITRON EMISSION TOMOGRAPHY LLC
Entity type:Organization
Organization Name:CLINICAL POSITRON EMISSION TOMOGRAPHY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-291-0014
Mailing Address - Street 1:1716 SW 82ND DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3470
Mailing Address - Country:US
Mailing Address - Phone:352-291-0014
Mailing Address - Fax:352-237-4126
Practice Address - Street 1:3233 SW 33RD RD STE 301
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-861-4602
Practice Address - Fax:352-237-4126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology