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PET IMAGING INSTITUTE OF SOUTH FLORIDA
NPI 1124020656
Clinic/Center - Radiology in Hollywood, FL

Active since August 15, 2005CLIA Certified · 2 labs
1150 N 35TH AVE, SUITE 665, HOLLYWOOD, FL 33021(954) 981-6668(954) 981-5944 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pet Imaging Institute Of South Florida NPPES

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

PET IMAGING INSTITUTE OF SOUTH FLORIDA (NPI 1124020656) is a healthcare organization registered as a radiology in Hollywood, Florida and active in the NPI registry since August 2005. The organization holds 2 active CLIA laboratory certificates and lists Lisette Cruz-deno, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1124020656
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTRI COUNTY PET LLC
Location Address1150 N 35TH AVE, SUITE 665Hollywood, FL 33021-5424
Mailing Address1150 N 35th Ave, Suite 665Hollywood, FL 33021-5424 · (954) 981-6668 · Fax (954) 981-5944
Phone(954) 981-6668
Fax(954) 981-5944
Organization SubpartNo
Authorized OfficialLisette Cruz-denoManaging Director · (954) 981-6668
Enumeration DateAugust 15, 2005
Last NPPES UpdateDecember 12, 2013
✔ NPI 1124020656 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
1150 N 35TH AVE, Hollywood, FL 33021
Open in Google Maps ↗

Other Names 1

Doing Business AsPet Imaging Institute Of South Florida

Other Identifiers 1

Medicare PINE3783BFL

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 Florida 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 Florida, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Karen Ayres, MD
Diagnostic Radiology
NPI 1811966567
3501 JOHNSON ST
Hollywood, FL 33021
(954) 437-4800
✔ PECOS✔ Accepts Medicare0.1 mi
David Hodge, M.D.
Diagnostic Radiology
NPI 1932102183
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Barbara Raphael, MD
Nuclear Medicine
NPI 1871801126
3501 JOHNSON ST
Hollywood, FL 33021
(954) 437-4800
✔ PECOS✔ Accepts Medicare0.1 mi
Scott Skorupa, M.D.
Diagnostic Radiology
NPI 1033115233
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOS✔ Accepts Medicare0.1 mi
Barry Charnick, MD
Diagnostic Radiology
NPI 1700889912
2122 W CYPRESS CREEK RD STE 210
Ft Lauderdale, FL 33309
(954) 266-3600
✔ 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 Medicare1,079 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 2

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 10D2147261

Tri County Pet, LLC Dba Pet Imaging Institute Of South Fl · Fort Lauderdale, FL
Active · expires Apr 16, 2028
CLIA Number10D2147261
Laboratory TypeDiagnostic Radiology/Pet/
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorBarry L. Charnick
Laboratory Phone(954) 981-6668
Laboratory LocationTri County Pet, LLC Dba Pet Imaging Institute Of South Fl2122 W Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1020174

Pet Imaging Institute Of South Florida West · Pembroke Pines, FL
Active · expires Dec 14, 2027
CLIA Number10D1020174
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorBarbara Raphael
Laboratory Phone(954) 981-6668
Laboratory LocationPet Imaging Institute Of South Florida West603 N Flamingo Rd S155, Pembroke Pines, FL 33028
CLIA data matches this NPI record on: 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 1124020656. It was assigned to this organization in the NPPES registry on August 15, 2005. The provider is doing business as Pet Imaging Institute Of South Florida.

Where is Tri County Pet LLC located?

Tri County Pet LLC is located at 1150 N 35th Ave Suite 665, Hollywood, FL 33021. 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri County Pet LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 3 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 December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.