Organization
ACCESS DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALIBU LEITH (DIRECTOR MRI OPERATIONS)
(941) 552-1189
Entity
Organization
Contact information
Practice address
4221 N HIMES AVE, TAMPA, FL 33607-6229
(941) 552-1189
(941) 365-8635
Mailing address
4054 SAWYER RD, SARASOTA, FL 34233-1272
(941) 552-1189
(941) 365-8635
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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