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PET IMAGING INSTITUTE OF SOUTH FL.
NPI 1003318049
Clinic/Center - Radiology in Fort Lauderdale, FL

Active since March 06, 2018CLIA 10D1007999 · Waiver
2122 W. CYPRESS CREEK ROAD, SUITE 210, FORT LAUDERDALE, FL 33309(954) 981-6668 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Pet Imaging Institute Of South Fl. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PET IMAGING INSTITUTE OF SOUTH FL. (NPI 1003318049) is a healthcare organization registered as a radiology in Fort Lauderdale, Florida and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Lisette Cruz-deno, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1003318049
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTRI COUNTY PET LLC
Location Address2122 W. CYPRESS CREEK ROAD, SUITE 210Fort Lauderdale, FL 33309
Mailing Address1150 N 35th Ave Ste 665Hollywood, FL 33021-5432 · (954) 981-6668 · Fax (954) 981-5944
Phone(954) 981-6668
Organization SubpartYes
Authorized OfficialLisette Cruz-denoManaging Director · (954) 981-6668
Enumeration DateMarch 6, 2018
Last NPPES UpdateApril 11, 20182 updates tracked since enumeration
✔ NPI 1003318049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in FL · HCC5507
2122 W. CYPRESS CREEK ROAD, Fort Lauderdale, FL 33309
Open in Google Maps ↗

Other Names 2

Doing Business AsPet Imaging Institute Of South Fl.
Doing Business AsTri County Pet, Llc

Other Identifiers 3

Medicaid003906000FL
OtherV2440FL · Florida Blue
Medicaid003906001FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pet Imaging Institute Of South Fl. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pet Imaging Institute Of South Fl., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Barry Charnick, MD
Diagnostic Radiology
NPI 1700889912
2122 W CYPRESS CREEK RD STE 210
Ft Lauderdale, FL 33309
(954) 266-3600
✔ PECOS✔ Accepts MedicareSame address
Karen Ayres, MD
Diagnostic Radiology
NPI 1811966567
3501 JOHNSON ST
Hollywood, FL 33021
(954) 437-4800
✔ PECOS✔ Accepts Medicare13 mi
David Hodge, M.D.
Diagnostic Radiology
NPI 1932102183
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOS✔ Accepts Medicare13 mi
Barbara Raphael, MD
Nuclear Medicine
NPI 1871801126
3501 JOHNSON ST
Hollywood, FL 33021
(954) 437-4800
✔ PECOS✔ Accepts Medicare13 mi
Scott Skorupa, M.D.
Diagnostic Radiology
NPI 1033115233
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOS✔ Accepts Medicare13 mi
Neetha Gandikota, MD
Diagnostic Radiology
NPI 1073804621
1 GUSTAVE L LEVY PL BOX 1141
New York, NY 10029
(212) 241-7888
✔ PECOS✔ Accepts Medicare1,067 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1007999

Pet Imaging Institute Of South Florida · Hollywood, FL
Active · expires Jan 6, 2027
CLIA Number10D1007999
Laboratory TypeOther
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorBarbara Raphael
Laboratory Phone(954) 981-6668
Laboratory LocationPet Imaging Institute Of South Florida1150 North 35th Ave Ste 665, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri County Pet LLC's NPI number?

The NPI number for Tri County Pet LLC is 1003318049. It was assigned to this organization in the NPPES registry on March 6, 2018. The provider is doing business as Pet Imaging Institute Of South Fl. and TRI County PET, LLC.

Where is Tri County Pet LLC located?

Tri County Pet LLC is located at 2122 W. Cypress Creek Road Suite 210, Fort Lauderdale, FL 33309. The listed phone number is (954) 981-6668.

What is Tri County Pet LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Tri County Pet LLC enrolled in Medicare?

Yes. Tri County Pet LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri County Pet LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri County Pet LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (5) and Nuclear Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri County Pet LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1007999) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri County Pet LLC accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Tri County Pet LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri County Pet LLC was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.