NPIMap

Organization Active NPI

Clinical Pet of Ocala LLC

  • Diagnostic Radiology Physician
  • Ocala, FL
National Provider Identifier
1891937876
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC8489 Issued in FL
Legal business name
CLINICAL PET OF OCALA LLC
Practice address
7494 SW 60TH Ave
Suite B
Ocala, FL 34476-6428
Phone
(352) 291-9484
Fax
(352) 291-1220
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Mr. Ganesh D Arora, PH.D.
Title
President
Phone
(352) 291-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC8489 FL Primary

Addresses

Primary practice location

7494 SW 60TH Ave
Suite B
Ocala, FL 34476-6428

Mailing address

PO Box 773029
Ocala, FL 34477-3029
Phone (352) 291-0014

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

National Provider Directory

National Provider Directory

Locations

7494 SW 60th Ave
#B
Ocala, FL 34476
Phone (352) 291-9484

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1891937876",
    "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": "352-291-0014",
            "fax_number": "352-291-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7494 SW 60TH AVE",
            "address_2": "SUITE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766428",
            "telephone_number": "352-291-9484",
            "fax_number": "352-291-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PET OF OCALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-08-12",
        "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": "352-291-0014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC8489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.