Organization
TRI-CITY PETCT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
902 SYCAMORE AVE, VISTA, CA 92081
(714) 688-3384
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
CA
Other
Enumeration date
06/03/2008
Last updated
07/24/2023
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