US Pet Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC5827 Issued in FL

Legal business name

US PET IMAGING LLC

Doing business as

Imaging for Life

Practice address

25097 Olympia Ave
Suite 104
Punta Gorda, FL 33950-3903

Phone

(941) 255-1700

Fax

(941) 255-1701

NPI assigned

Feb 22, 2008

Last updated

Feb 15, 2011By 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

Inita Bedi

Title

Manager

Phone

(941) 284-5448

Specialties & licenses 1

Addresses

Other names 1

• Imaging for Life Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• US Pet Imaging LLC

  dba Imaging for Life

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1255373643

  O20090814000623

  Same enrollment
• US Pet Imaging LLC

  dba Imaging for Life

  • Diagnostic Radiology Physician
  • Bradenton, FL
  • NPI 1427227636

  O20090814000623

  Same enrollment

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1699944801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-255-1700",
            "fax_number": "941-371-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE",
            "address_2": "SUITE 104",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503903",
            "telephone_number": "941-255-1700",
            "fax_number": "941-255-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US PET IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BEDI",
        "authorized_official_first_name": "INITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-284-5448"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC5827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaging for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Marie Tucker, LMHC
• Terri Ufko
• Ukp Solutions LLC
• Joseph Ikpe Umana, RPH
• US Pet Imaging LLC
• Marlo Felice Uzzle, LCSW
• Samir S Vakil, DPM
• Valiant Recovery Corp
• Vallacare Health Services Inc
• Navija H Valladares, M.D.

• Diagnostic Radiology Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.