Organization Active NPI

Clinical Pet of Citrus LLC

  • Radiology Clinic/Center
  • Crystal River, FL
National Provider Identifier
1851384325
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CLINICAL PET OF CITRUS LLC
Practice address
6140 W Corporate Oaks Dr
Crystal River, FL 34429-8722
Phone
(352) 795-0847
Fax
(352) 795-7843
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Mr. Ganesh D Arora
Title
President
Phone
(352) 494-6142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

6140 W Corporate Oaks Dr
Crystal River, FL 34429-8722

Mailing address

PO Box 773029
Ocala, FL 34477-3029
Phone (352) 795-0847

Other identifiers 1

IdentifierTypeStateIssuer
V2639OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

6140 W Corporate Oaks Dr
Crystal River, FL 34429
Phone (352) 795-0847

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1851384325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773029",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344773029",
            "telephone_number": "352-795-0847",
            "fax_number": "352-795-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CORPORATE OAKS DR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298722",
            "telephone_number": "352-795-0847",
            "fax_number": "352-795-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PET OF CITRUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "GANESH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-494-6142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2639",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.