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Organization

UNIVERSITY DIAGNOSTIC INSTITUTE LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA EDWARDS MBA (DIRECTOR OF OPERATIONS)
(813) 972-3351
Entity
Organization

Contact information

Practice address
3301 ALUMNI DR, TAMPA, FL 33612-9413
(813) 972-3351
(913) 971-6892
Mailing address
3301 ALUMNI DR, TAMPA, FL 33612-9413
(813) 972-3351
(913) 971-6892

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QR0200X
Radiology Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06060900
FL
01
081944
AVMED
FL
01
227379
AMERIGROUP
FL
01
V2338
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/23/2005
Last updated
09/27/2007
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