NATIONAL P.E.T. SCAN DADE, LLC – Radiology Clinic/Center, NPI 1891798732
Radiology Clinic/Center
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NATIONAL P.E.T. SCAN DADE, LLC
Southpoint Drive South, Jacksonville, Duval County, Florida, 32216, United States
SUITE 360
JACKSONVILLE, FL 322168014
Phone: (904) 358-8441
Fax: (904) 358-2288
Type: Mailing
National PET Scan - Dade LLC, 7867, Southwest 88th Street, Kendall, Miami-Dade County, Florida, 33156, United States
STE 121
MIAMI, FL 331567735
Phone: (305) 455-3000
Fax: (305) 455-2065
Type: Location
7867 N KENDALL DR STE 121
MIAMI, FL 331567735
Phone: (305) 455-3000
Fax: (305) 455-2065
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041110001130 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 161 | 69 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 91 | 74 | $0 |
| 72194 | Ct scan of pelvis before and after contrast | 22 | 13 | $0 |
Insurance plans in this area (ZIP 32216)
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