# PORT SAINT LUCIE IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114797511
- **Authorized official:** ALEJANDRO LEVINTON (MEMBER)
- **Authorized official phone:** (786) 567-7607

## Contact information

- **Practice address:** 2992 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-3217
- **Practice address phone:** (786) 567-7607
- **Mailing address:** 2992 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-3217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2024
- **Last updated:** 01/05/2024