St Lucie Diagnostic Center Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME0043667 Issued in FL

Legal business name

ST LUCIE DIAGNOSTIC CENTER INC

Practice address

1700 S 23Rd St
Fort Pierce, FL 34950-4803

Phone

(772) 468-4435

Fax

(772) 871-7822

NPI assigned

Aug 9, 2006

Last updated

Aug 22, 2020By 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

Dr. Kishor Parekh, MD

Title

Owner

Phone

(772) 468-4435

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kishorchandra J Parekh, M.D.

  • Diagnostic Radiology Physician
  • Jupiter, FL
  • NPI 1659475705
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861403792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880009",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349880009",
            "telephone_number": "772-468-4435",
            "fax_number": "772-871-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-468-4435",
            "fax_number": "772-871-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUCIE DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-468-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0043667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Helen Spisak-Dial, MSN, ARNP
• Sports Imaging Centers, LLC (Windsor Imaging)
• Sportspain & Spinal Rehab Inc.
• Molly Spruill, LMHC
• Colette Carol St Andre, LMHC, CAP
• St Lucie Emergency Group LLC
• St Lucie Eye Associates MD PA
• St Lucie Optical West, Inc
• Myrnise St. Hilaire, RN
• St. Lucie County Health Access Network, Inc. Dba/ Hands (Hands)

• Diagnostic Radiology Physician in Fort Pierce, FL
• Providers in Fort Pierce, 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 Aug 22, 2020; 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.