Organization
GAINESVILLE RADIOLOGY GROUP WEST, LLC
Active
Other names
Putnam Radiology Group
Organization subpart
No
Provider details
NPI number
Authorized official
TONY ARVESU (MANAGING MEMBER)
(352) 332-2040
Entity
Organization
Contact information
Practice address
4960 W NEWBERRY RD, STE 280, GAINESVILLE, FL 32607-2201
(352) 371-3336
(352) 371-3372
Mailing address
4960 W NEWBERRY RD, STE 280, GAINESVILLE, FL 32607-2201
(352) 371-3336
(352) 371-3372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
256176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2766
BCBS IDTF NUMBER
FL
01
—
V3013
BCBS IDTF NUMBER EAST OFC
FL
Enumeration date
05/24/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us