Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Premier PET Management of Queens LLC

Organization Diagnostic Radiology Physician · NPI 1598830424

Premier PET Management of Queens LLC provides Diagnostic Radiology Physician services in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10202 Queens Blvd
Forest Hills, NY 11375-3197 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 896-7600
Fax: (718) 896-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1124741 (NY)

Record details

NPI number1598830424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucille Taverna — Medical Director · (516) 255-9555
Other names Forest Hills Pet Imaging Pc
NPI enumeratedNovember 24, 2006
Last updated in NPPESOctober 10, 2007
Mailing address10202 Queens Blvd, Forest Hills, NY 11375-3197

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