| Organization Name: | PROSTATE IMAGING LLC |
| NPI Number: | 1003104019 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEX SEXTON (CEO) |
| Mailing Address: | 3665 Bee Ridge Rd Suite 312 Sarasota |
| State: | FL US |
| Postal Code: | 342331054 |
| Phone Number: | 2052490490 |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471M1202X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Magnetic Resonance Imaging |
| Taxonomy Definition: | |