FAWCETT IMAGING PORT CHARLOTTE PA – NPI #1710215728
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

FAWCETT IMAGING PORT CHARLOTTE PA is a radiologist located in PORT CHARLOTTE, FL. NPPES has assigned the NPI number 1710215728 to FAWCETT IMAGING PORT CHARLOTTE PA on December 02, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAWCETT IMAGING PORT CHARLOTTE PA below.

NPI Profile for
FAWCETT IMAGING PORT CHARLOTTE PA

NPI Number
1710215728
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAWCETT IMAGING PORT CHARLOTTE PA
Primary location
21298 OLEAN BLVD
PORT CHARLOTTE, FL 33952-6705
Phone: (810) 230-9215 Fax:
Mailing address
2325 STONEBRIDGE DR
FLINT, MI 48532-5407
Phone: (810) 230-9215 Fax: (810) 230-9225
Organization Subpart
No
Authorized Official
RAMANAN VENKAT
PRESIDENT
Phone: (810) 230-9215
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.