North Tampa Imaging LLC

NPI #1205832631 in Tampa, Florida

Provider Information

NPI Number: 1205832631
Entity Type: Organization
Organization Name: North Tampa Imaging LLC
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jun 21, 2005
Last Updated: Jul 31, 2007

Practice Location

Address: 14302 BRUCE B DOWNS BLVD
City: Tampa
State: Florida
ZIP Code: 33613-2601
Phone: (813) 975-1111

Authorized Official

Name: MR. LAVELLE R HARDIN
Title: CREDENTIALING COORDINATOR
Phone: (615) 344-8203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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