# PARTNERS IMAGING CENTER OF CHARLOTTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Partners Imaging Center of Port Charlotte
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710200845
- **Authorized official:** MR. MITCHELL GEISLER (CEO)
- **Authorized official phone:** (647) 288-1508

## Contact information

- **Practice address:** 4161 TAMIAMI TRL STE 204, PORT CHARLOTTE, FL 33952-9204
- **Practice address phone:** (941) 255-5151
- **Practice address fax:** (941) 255-5152
- **Mailing address:** 848 N RAINBOW BLVD STE 2494, LAS VEGAS, NV 89107-1103
- **Mailing address phone:** (877) 700-1093
- **Mailing address fax:** (877) 484-5173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | HCC10461 | FL | Yes |
| 261QR0200X | Radiology Clinic/Center | HCC10461 | FL | — |

## Other

- **Enumeration date:** 03/03/2010
- **Last updated:** 05/09/2017
