Precision Lithotripsy LLC

Primary specialty

Lithotripsy Clinic/CenterTaxonomy code 261QL0400X

Legal business name

PRECISION LITHOTRIPSY LLC

Practice address

3490 N US Highway 1
Cocoa, FL 32926-8724

Phone

(321) 636-0535

Fax

(321) 636-1975

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Scott Mason Baughan

Title

Chief Financial Officer

Phone

(321) 403-4078

Specialties & licenses 1

Addresses

Tax ID family

Precision Lithotripsy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Precision Lithotripsy, LLC

  • Lithotripsy Clinic/Center
  • Westborough, MA
  • NPI 1588027486
  NPD tax ID

Locations

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1619258464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237592",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329237592",
            "telephone_number": "321-636-0535",
            "fax_number": "321-636-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 N US HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329268724",
            "telephone_number": "321-636-0535",
            "fax_number": "321-636-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION LITHOTRIPSY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BAUGHAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "321-403-4078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy A Portz, LCSW
• Sameria F Poston
• Darrah Susan Potts
• Shacarra Danielle Pouncey
• Precise Telehealth Inc
• Premiere Addiction Recovery, LLC
• Prestige Dental, Inc.
• Aaron Privett, PSY.D.
• Heather Probert
• Linda Lee Prough, LPN

• Lithotripsy Clinic/Center in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Lithotripsy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.