Active NPI
Lori Ganim, RT(R)(MR)(ARRT)
- Magnetic Resonance Imaging Radiologic Technologist
- St Petersburg, FL
National Provider Identifier
1033566112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 324317
- Practice address
- 10000 Bay Pines Blvd North
St Petersburg, FL 33708 - Phone
- (727) 398-6661
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | R 2547649 | OH | |
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 324317 | IN | Primary |
| Radiologic Technologist | 247100000X | CRT 83953 | FL | |
| Radiologic Technologist | 247100000X | XT 012010 | IN |
Addresses
Primary practice location
10000 Bay Pines Blvd North
St Petersburg, FL 33708
Mailing address
4812 Miramar Dr Unit 3202
Madeira Beach, FL 33708-3394
Phone (765) 461-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT 83953 | FL | MD | Radiologic Technologist |
| XT 012010 | IN | MD | Radiologic Technologist |
| R 2547649 | OH | MD | Radiologic Technologist |
| 324317 | IN | MD | Magnetic Resonance Imaging Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1033566112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 MIRAMAR DR UNIT 3202",
"city": "MADEIRA BEACH",
"state": "FL",
"postal_code": "337083394",
"telephone_number": "765-461-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD NORTH",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33708",
"telephone_number": "727-398-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANIM",
"first_name": "LORI",
"credential": "RT(R)(MR)(ARRT)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "OH",
"license": "R 2547649",
"primary": false
},
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "IN",
"license": "324317",
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "CRT 83953",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "IN",
"license": "XT 012010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.