NORTH TAMPA IMAGING LLC


Address: 14302 Bruce B Downs Blvd, Tampa, FL 33613-2601
Phone: 8139751111

NORTH TAMPA IMAGING LLC (NPI# 1255416129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255416129
Entity Type Organization
Organization Name NORTH TAMPA IMAGING LLC
Other Organization Name DBA NTIC (NEW TAMPA IMAGING CENTER)
Practice Address 14302 Bruce B Downs Blvd
Tampa
FL 33613-2601
Practice Telephone 8139751111
Practice Fax Number 8139750555
Mailing Telephone 8139751111
Mailing Fax Number 8139750555
Enumeration Date 2006-10-26
Last Update Date 2009-04-17
Authorized Official Name MR. LAVELLE HARDIN (CREDENTIALING & ENROLLMENT)
Authorized Official Telephone 6153448203
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RR MEDICARE P00273453 01
FL 272080900 05
FL BCBS OF FL V3026 01

Other Provider/Organization Names

Other Name Type Code
dba NTIC (New Tampa Imaging Center) Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205832631 North Tampa Imaging LLC Clinic/Center 14302 Bruce B Downs Blvd, Tampa, FL 33613-2601 2005-06-21
1407928906 North Tampa Imaging LLC Radiology 14302 Bruce B Downs Blvd, Tampa, FL 33613 2006-11-14

Office Location

Street Address 14302 BRUCE B DOWNS BLVD
City TAMPA
State FL
Zip Code 33613-2601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205832631 North Tampa Imaging LLC Clinic/Center 14302 Bruce B Downs Blvd, Tampa, FL 33613-2601 2005-06-21
1063041655 Simonmed Imaging Florida LLC Radiology 14302 Bruce B Downs Blvd, Tampa, FL 33613-2601 2020-04-06
1407928906 North Tampa Imaging LLC Radiology 14302 Bruce B Downs Blvd, Tampa, FL 33613 2006-11-14
1154411940 New Tampa Imaging Center Clinic/Center 14302 Bruce B Downs Blvd, Tampa, FL 33613 2006-10-13
1447256771 David Richard Carroll Radiology 14302 Bruce B Downs Blvd, Tampa, FL 33613-2601 2005-06-22

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144834763 Tower Imaging LLC Radiology 17416 Brookside Trace Ct., Tampa, FL 33647-3589 2020-09-01
1366067712 Baycare Outpatient Imaging LLC Radiology 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 2020-06-11
1306482088 Michael P. Flynn Radiology 1003 Bay Harbour Place, Tampa, FL 33602 2019-11-18
1528526977 Raddoctor, Pa Radiology 9203 Pine Island Ct, Tampa, FL 33647-2301 2019-03-05
1588023261 Florida Gulfcoast Medical Imaging LLC Radiology 9822 Tree Tops Lake Rd, Tampa, FL 33626-4764 2016-02-23
1063803302 Ahmed Sherif Radiology 2 Tampa General Cir # 7035, Usf Dept of Radiology, South Tampa Center, Tampa, FL 33606-3603 2015-02-09
1780015297 St. Joseph's Diagnostic Center, LLC. Radiology 2222 W Swann Ave, Tampa, FL 33606-2426 2013-12-09
1245576651 Radiology Associates of Tampa Pa Radiology 5 Tampa General Cir Ste 800, Harborside Medical Clinic, Tampa, FL 33606-3601 2012-12-13
1427282151 Eric Matthew Lenz Radiology 3004 W San Miguel St, Tampa, FL 33629-6043 2009-05-09
1699929380 Charles Howard Fisher Radiology 4904 Andros Dr, Tampa, FL 33629-4802 2008-11-09
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Competitor

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City TAMPA
Zip Code 33613

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Dataset Information

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.

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