Precision Teleradiology LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

L09000051092 Issued in FL

Legal business name

PRECISION TELERADIOLOGY LLC

Practice address

8101 Glenfinnan Cir
Fort Myers, FL 33912-4013

Phone

(239) 980-4664

Fax

(866) 269-2214

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Victor Harley Gregory, D.O.

Title

Owner

Phone

(239) 980-4664

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306194873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 GLENFINNAN CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124013",
            "telephone_number": "239-980-4664",
            "fax_number": "866-269-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 GLENFINNAN CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124013",
            "telephone_number": "239-980-4664",
            "fax_number": "866-269-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION TELERADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-980-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "L09000051092",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.