Organization
NORTH BRANDON IMAGING LLC
Active
Other names
Tower Diagnostic Center of Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B. RUTHERFORD (SENIOR VP)
(615) 309-2190
Entity
Organization
Contact information
Practice address
613 OAKFIELD DRIVE, BRADON, FL 33511
(813) 661-2222
(813) 681-8494
Mailing address
613 OAKFIELD DR, BRANDON, FL 33511-5714
(813) 661-2222
(813) 681-8494
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272079500
—
FL
01
—
P00280433
RR MEDICARE
FL
01
—
V3028
BCBS OF FL
FL
Enumeration date
10/13/2006
Last updated
08/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us