Organization
TAMPA BAY IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIN BARKER (ADMINISTRATOR)
(813) 386-3674
Entity
Organization
Contact information
Practice address
2700 W DR MARTIN LUTHER KING JR BLVD, SUITE 130, TAMPA, FL 33607-6386
(813) 386-3674
(813) 386-0499
Mailing address
2700 W DR MARTIN LUTHER KING JR BLVD, SUITE 130, TAMPA, FL 33607-6386
(813) 386-3674
(813) 386-0499
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007411287
AETNA
FL
01
—
195641
WELLCARE/STAYWELL
FL
01
—
241688
AMERIGROUP
FL
01
—
2674773001
CIGNA
FL
01
—
P00062673
UHC
FL
01
—
V2942
BCBS
FL
Enumeration date
07/09/2006
Last updated
06/17/2008
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