Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TRI COUNTY PET LLC
Active
Organization
TRI COUNTY PET LLC
Active
Other names
TRI County PET, LLC, PET Imaging Institute of South Fl.
Organization subpart
Yes
Provider details
NPI number
Authorized official
LISETTE CRUZ-DENO (MANAGING DIRECTOR)
(954) 981-6668
Entity
Organization
Contact information
Practice address
2122 W. CYPRESS CREEK ROAD, SUITE 210, FORT LAUDERDALE, FL 33309
(954) 981-6668
Mailing address
1150 N 35TH AVE STE 665, HOLLYWOOD, FL 33021-5432
(954) 981-6668
(954) 981-5944
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003906000
—
FL
05
—
003906001
—
FL
01
—
V2440
FLORIDA BLUE
FL
Enumeration date
03/06/2018
Last updated
04/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up