Sun City Imaging LLC

NPI #1669478012 in Sun City, Florida

Provider Information

NPI Number: 1669478012
Entity Type: Organization
Organization Name: Sun City Imaging LLC
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jun 21, 2005
Last Updated: Mar 18, 2008

Practice Location

Address: 3862 SUN CITY CENTER BLVD
City: Sun City
State: Florida
ZIP Code: 33573
Phone: (813) 657-7575

Authorized Official

Name: MR. LAVELLE 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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