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Organization

SUN CITY IMAGING LLC

Active
Other names
Total Imaging of Sun City
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAVELLE HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization

Contact information

Practice address
3862 SUN CITY CENTER BLVD, SUN CITY, FL 33573
(813) 657-7575
(813) 684-3040
Mailing address
3862 SUN CITY CENTER BLVD, SUN CITY, FL 33573
(813) 657-7575
(813) 684-3040

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QR0200X
Radiology Clinic/Center
Primary
261QR0206X
Mammography Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00277443
RR MEDICARE
FL
Enumeration date
06/21/2005
Last updated
03/18/2008
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