Organization
SPRING HILL IMAGING LLC
Active
Other names
Summit Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B. RUTHERFORD (SENIOR VP)
(615) 309-2190
Entity
Organization
Contact information
Practice address
12037 CORTEZ BLVD, BROOKSVILLE, FL 34613
(352) 597-9008
(352) 597-1008
Mailing address
12037 CORTEZ BLVD, 12037 CORTEZ BLVD, BROOKSVILLE, FL 34613-7349
(352) 597-9008
(352) 597-1008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272083300
—
FL
01
—
P00273445
RR MEDICARE
FL
01
—
V3024
BCBS OF FL
FL
Enumeration date
10/05/2006
Last updated
08/31/2011
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