Provider Demographics
NPI:1609539808
Name:DIME DIAGNOSTIC PRECISION ULTRASOUND LLC
Entity Type:Organization
Organization Name:DIME DIAGNOSTIC PRECISION ULTRASOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD,RDMS
Authorized Official - Phone:407-271-4579
Mailing Address - Street 1:7427 VICTORIA CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6013
Mailing Address - Country:US
Mailing Address - Phone:407-692-8737
Mailing Address - Fax:
Practice Address - Street 1:7236 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-6749
Practice Address - Country:US
Practice Address - Phone:407-271-4579
Practice Address - Fax:407-271-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology