Organization
S.M.S. IMAGING
Active
Other names
FLORIDA INSTITUTE FOR ADVANCED DIAGNOSTIC IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A BRIENZA RN, LHRM, CCS-P (FACILITIES DIRECTOR)
(727) 868-2151
Entity
Organization
Contact information
Practice address
9238 US HIGHWAY 19, PORT RICHEY, FL 34668-4853
(727) 849-8491
(727) 849-3472
Mailing address
11528 US HIGHWAY 19, PORT RICHEY, FL 34668-1442
(727) 868-2151
(727) 868-8251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS 3869
FL
247100000X
Radiologic Technologist
Primary
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01590
UNIVERSAL HEALTH CARE
FL
01
—
10851101
CITRUS
FL
05
—
271506600
—
FL
01
—
297482
AVMED
FL
01
—
E6730
BLUE CROSS BLUE SHIELD FLORIDA
FL
01
—
P00074180
RAILROAD MEDICARE
FL
Enumeration date
06/09/2005
Last updated
11/25/2009
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