Active NPI
Precision Diagnostic of Port St Lucie LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Port St Lucie, FL
National Provider Identifier
1790667566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- PRECISION DIAGNOSTIC OF PORT ST LUCIE LLC
- Practice address
- 879 E Prima Vista Blvd
Port St Lucie, FL 34952-2342 - Phone
- (772) 344-7566
- NPI assigned
- Jul 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Chan a Sue
- Title
- Cfo
- Phone
- (561) 623-8346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary |
Addresses
Primary practice location
879 E Prima Vista Blvd
Port St Lucie, FL 34952-2342
Mailing address
879 E Prima Vista Blvd
Port St Lucie, FL 34952-2342
Phone (772) 344-7566
National Provider Directory
National Provider DirectoryLocations
879 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 344-7566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1790667566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 E PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522342",
"telephone_number": "772-344-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 E PRIMA VISTA BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522342",
"telephone_number": "772-344-7566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION DIAGNOSTIC OF PORT ST LUCIE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "CHAN A SUE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-623-8346"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Jose Jorge Pozo, MD
- Catherine Alice Prann, D.C.
- Jessica Anne Pratt, PTA
- Precious Moments Assisted Living Facility LLC
- Precise Care Services
- Denese Helen Preddie
- Preferred Private Care, LLC
- Premier Physical Therapy Sport Medicine Inc
- Premier Physical Therapy Sport Medicine Inc
- Premier Spine Specialists, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.