Organization
NORTH TAMPA IMAGING LLC
Active
Other names
New Tampa Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
14302 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2601
(813) 975-1111
(813) 975-0555
Mailing address
14302 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2601
(813) 975-1111
(813) 975-1111
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
06/21/2005
Last updated
07/31/2007
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