ULTRA IMAGING OF TAMPA LLC (NPI# 1477544401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477544401 |
Entity Type | Organization |
Organization Name | ULTRA IMAGING OF TAMPA LLC |
Other Organization Name | DBA ULTRA IMAGING OF LAKELAND |
Practice Address |
2946 Lakeland Highlands Rd Highlands Plaza Lakeland FL 33803-4379 |
Practice Telephone | 8635831674 |
Practice Fax Number | 8635831678 |
Mailing Telephone | 8635831674 |
Mailing Fax Number | 8635831678 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-08-02 |
Authorized Official Name | MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 6153448203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
dba Ultra Imaging of Lakeland | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467459289 | Ultra Imaging of Tampa LLC | Clinic/Center | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2005-07-07 |
1427055177 | Ultra Imaging of Tampa LLC | Clinic/Center | 13787 Belcher Rd S, Suite 300, Largo, FL 33771-4065 | 2005-07-07 |
1811994551 | Ultra Imaging of Tampa LLC | Clinic/Center | 2946 Lakeland Highlands Rd, Highlands Plaza, Lakeland, FL 33803-4379 | 2005-07-07 |
1205926490 | Ultra Imaging of Tampa LLC | Radiology | 2137 W Martin Luther King Blvd, Tampa, FL 33607 | 2006-10-16 |
1386635316 | Ultra Imaging of Tampa LLC | Radiology | 13787 Belcher Rd S, Largo, FL 33771-4065 | 2005-10-31 |
1194716126 | Ultra Imaging of Tampa LLC | Radiology | 6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655 | 2005-10-31 |
Street Address |
2946 LAKELAND HIGHLANDS RD HIGHLANDS PLAZA |
City | LAKELAND |
State | FL |
Zip Code | 33803-4379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811994551 | Ultra Imaging of Tampa LLC | Clinic/Center | 2946 Lakeland Highlands Rd, Highlands Plaza, Lakeland, FL 33803-4379 | 2005-07-07 |
1982925269 | Mri Associates of Lakeland, LLC | Clinic/Center | 2946 Lakeland Highlands Rd, Unit 12, Lakeland, FL 33803-4379 | 2010-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
Find all providers in zip 33803 |
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 |
---|---|---|---|---|
1013280361 | Radiology & Imaging Specialists of Lakeland Pa | Radiology | 1121 Lakeland Hills Blvd, Lakeland, FL 33805-4655 | 2012-02-17 |
1427049931 | Radiology & Imaging Specialists of Lakeland | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2005-11-03 |
1063032993 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2020-04-21 |
1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
1487180659 | Central Florida Imaging of Lakeland LLC | Radiology | 1205 East Magnolia St, Suite 109, Lakeland, FL 33801 | 2017-05-10 |
1326404195 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 130 Pablo St, Lakeland, FL 33803-3818 | 2016-01-11 |
1427493931 | Tadeusz Ciszak | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2013-05-10 |
1750654000 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
1649543992 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2012-02-17 |
1558634816 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
Find all providers in LAKELAND |
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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.