Organization
CLINICAL PET OF LAKE CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARESH D ARORA (PRESIDENT)
(352) 494-6142
Entity
Organization
Contact information
Practice address
484 SW COMMERCE DR, SUITE 145, LAKE CITY, FL 32025-1507
(386) 754-3092
(386) 754-6176
Mailing address
PO BOX 773029, OCALA, FL 34477-3029
(352) 795-0847
(352) 795-7843
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2683
BCBS
FL
Enumeration date
08/30/2005
Last updated
06/09/2008
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