# ULTRA DIAGNOSTIC IMAGING, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ultra Diagnostic Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326232315
- **Authorized official:** DR. STEPHEN MARK MITCHELL D.O. (PRESIDENT)
- **Authorized official phone:** (215) 760-0766

## Contact information

- **Practice address:** 3687 TAMPA RD, SUITE 202, OLDSMAR, FL 34677-6307
- **Practice address phone:** (813) 925-3343
- **Practice address fax:** (813) 854-2929
- **Mailing address:** 3945 WELLINGTON PKWY, PALM HARBOR, FL 34685-1172
- **Mailing address phone:** (215) 760-0766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2007
- **Last updated:** 09/01/2007