Healthcare Provider Details

I. General information

NPI: 1609539808
Provider Name (Legal Business Name): DIME DIAGNOSTIC PRECISION ULTRASOUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 07/25/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7236 W COLONIAL DR
ORLANDO FL
32818-6749
US

IV. Provider business mailing address

7300 W COLONIAL DR STE 7236
ORLANDO FL
32818-6745
US

V. Phone/Fax

Practice location:
  • Phone: 407-271-4579
  • Fax: 407-271-4510
Mailing address:
  • Phone: 407-692-8737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW ANTHONY THOMPSON
Title or Position: OWNER
Credential: MD
Phone: 407-271-4579