US IMAGING CENTER CORP LLC (NPI# 1225076565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225076565 |
| Entity Type | Organization |
| Organization Name | US IMAGING CENTER CORP LLC |
| Practice Address |
842 Sunset Lake Blvd Suite 301 Venice FL 34292-7551 |
| Mailing Address |
Po Box 447 Venice FL 34284-0447 |
| Practice Telephone | 9414410060 |
| Practice Fax Number | 9414410070 |
| Mailing Telephone | 9414885791 |
| Mailing Fax Number | 9413777975 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | DR. STEPHEN M MILEY (MANAGING DIRECTOR) |
| Authorized Official Telephone | 9414885791 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366638934 | Us Imaging Center Corp LLC | Radiology | 842 Sunset Lake Blvd, Suite301, Venice, FL 34292-7551 | 2007-09-18 |
| Street Address |
842 SUNSET LAKE BLVD SUITE 301 |
| City | VENICE |
| State | FL |
| Zip Code | 34292-7551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866104 | Joseph G Thro | Urology | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7551 | 2005-07-26 |
| 1629487954 | Casey Lineberry | Physician Assistant | 842 Sunset Lake Blvd, Suite 403, Bldg. B, Venice, FL 34292-7551 | 2014-08-12 |
| 1215356720 | James D Shortt Md Pa | Pain Medicine | 842 Sunset Lake Blvd, Suite 303, Venice, FL 34292-7551 | 2014-04-11 |
| 1295016699 | Coletta M Boyle | Nurse Practitioner | 842 Sunset Lake Blvd, Suite 403, Building B, Venice, FL 34292-7551 | 2011-08-30 |
| 1316127152 | Genesiscare Usa of Florida LLC | Urology | 842 Sunset Lake Blvd, Building B - Suite 403, Venice, FL 34292-7551 | 2007-11-09 |
| 1366638934 | Us Imaging Center Corp LLC | Radiology | 842 Sunset Lake Blvd, Suite301, Venice, FL 34292-7551 | 2007-09-18 |
| 1427132133 | John R. Cassidy, M.d., P.a. | Neurological Surgery | 842 Sunset Lake Blvd, Suite 302, Venice, FL 34292-7551 | 2006-10-25 |
| 1508967761 | Gregory M Lomas | Urology | 842 Sunset Lake Blvd, Suite 403, Bldg. B, Venice, FL 34292-7551 | 2006-09-26 |
| 1518067727 | John R Cassidy | Neurological Surgery | 842 Sunset Lake Blvd, Suite 302, Venice, FL 34292-7552 | 2006-09-25 |
| 1982704128 | Christopher Guerin | Neurological Surgery | 842 Sunset Lake Blvd, Suite 302, Venice, FL 34292-7552 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083662316 | Josiah Bancroft | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2899 | 2006-05-05 |
| 1427033158 | Toseef Muzaffur Khan | Radiology | 830 Bayport Cir, Venice, FL 34292 | 2005-12-15 |
| 1043293095 | Kimberly Ann Ruzek | Radiology | 516 Nokomis Ave S, Venice, FL 34285-2817 | 2005-11-23 |
| 1437492840 | Travis Alan Carter | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2899 | 2013-04-03 |
| 1366638934 | Us Imaging Center Corp LLC | Radiology | 842 Sunset Lake Blvd, Suite301, Venice, FL 34292-7551 | 2007-09-18 |
| 1730116872 | Charles J Davenport | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2817 | 2006-06-26 |
| 1184667024 | Phillip M Mihm | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2817 | 2006-06-14 |
| 1003850934 | Gary D Wright | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2817 | 2006-06-14 |
| 1679516124 | Charles S Gordon | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2817 | 2006-06-13 |
| 1366484347 | Melecito E Baga | Radiology | 512 Nokomis Ave S, Venice, FL 34285-2817 | 2006-06-12 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.