ST JOSEPH'S DIAGNOSTIC CENTER LLC


Address: 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265
Phone: 8135867650

ST JOSEPH'S DIAGNOSTIC CENTER LLC (NPI# 1821527474) 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) 1821527474
Entity Type Organization
Organization Name ST JOSEPH'S DIAGNOSTIC CENTER LLC
Other Organization Name BAYCARE OUTPATIENT IMAGING
Practice Address 17512 Dona Michelle Dr Ste 5
Tampa
FL 33647-3265
Mailing Address 2995 Drew St Fl 2
Clearwater
FL 33759-3012
Practice Telephone 8135867650
Mailing Telephone 7272819065
Mailing Fax Number 8136352613
Enumeration Date 2017-06-07
Last Update Date 2019-01-18
Authorized Official Name TAMBLYN CUBERO (VP)
Authorized Official Telephone 7272819093
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 061048806 05

Other Provider/Organization Names

Other Name Type Code
BayCare Outpatient Imaging Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780970137 St Joseph's Diagnostic Center LLC Radiology 4091 Van Dyke Rd, Lutz, FL 33558-8007 2011-06-23
1760821599 St Joseph's Diagnostic Center LLC Radiology 10141 Big Bend Rd, Riverview, FL 33578-7419 2013-06-14
1699062422 St Joseph's Diagnostic Center LLC Radiology 12780 Race Track Rd, Suite 100, Tampa, FL 33626-1397 2011-06-30

Office Location

Street Address 17512 DONA MICHELLE DR STE 5
City TAMPA
State FL
Zip Code 33647-3265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811161581 Kannya Parameshwari Asokan Family Medicine 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 2008-04-14
1104324839 Baycare Urgent Care, LLC Pharmacy 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 2018-01-29
1114453842 Sanjay Kumar Jain Family Medicine 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 2017-05-01
1194275271 Danielle N Hebert Nurse Practitioner 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 2016-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558972935 Innovative Healthcare of Florida, Inc. Home Health 8903 Bruce B Downs Blvd, Tampa, FL 33647 2020-08-11
1093331498 Envision In-home Companion Svcs Home Health 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 2020-06-22
1538788344 Deanna Rene Shelpman Massage Therapist 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 2020-04-11
1316598998 Paramount Health Group LLC In Home Supportive Care 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 2019-09-24
1174185656 S&k Management Services Clinical Nurse Specialist 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 2019-07-03
1760040133 Calisia Sapp Clinic/Center 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 2019-05-31
1306400106 B2b Apps Solutions, LLC Durable Medical Equipment & Medical Supplies 17931 Cachet Isle Drive, Tampa, FL 33647 2019-04-26
1376000919 Florida Homecare Specialists Minority Corp Home Health 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 2019-03-01
1982188157 Dynamic Support Solutions, LLC Home Health 8606 Baneberry Ct, Tampa, FL 33647 2018-09-24
1982197430 Erika Mendoza-hutto Nurse Practitioner 20713 Center Oak Dr, Tampa, FL 33647 2018-06-10
Find all providers in zip 33647

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
Find all providers in TAMPA

Competitor

Search similar providers

City TAMPA
Zip Code 33647

Improve Information

Please comment or provide details below to improve the information on ST JOSEPH'S DIAGNOSTIC CENTER LLC.

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.

Trending Searches