Treasure Coast Diagnostics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

117-303-05-1010575 Issued in FL

Legal business name

TREASURE COAST DIAGNOSTICS LLC

Practice address

1801 SE Hillmoor Dr
C209
Port St Lucie, FL 34952-7553

Phone

(772) 335-1122

Fax

(772) 335-0023

NPI assigned

Apr 10, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prasad Chalasani, MD

Title

Officer

Phone

(772) 335-1122

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurence Octavius Watkins, MD

  • Cardiovascular Disease Physician
  • Port St Lucie, FL
  • NPI 1184661209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053534081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "C209",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-335-1122",
            "fax_number": "772-335-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "C209",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-335-1122",
            "fax_number": "772-335-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "772-335-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "117-303-05-1010575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Alf Inc.
• Treasure Coast Anesthesiology, P.a.
• Treasure Coast Cancer Care Center Inc
• Treasure Coast Cosmetic Surgery Center
• Treasure Coast Counseling Center Inc
• Treasure Coast Gi LLC
• Treasure Coast Health (Healthy Results)
• Treasure Coast Healthcare Associates,LLC
• Treasure Coast Medical and Holistic Care, LLC
• Treasure Coast Medical Centers, LLC

• Specialist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.