Organization Active NPI

Orthopedic Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1063016665
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ORTHOPEDIC IMAGING LLC
Practice address
1931 Martin Luther King Jr Blvd Suite F
Suite F
Tampa, FL 33607
Phone
(727) 434-2522
Fax
(727) 441-1158
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Christina Schulz
Title
Owner
Phone
(727) 434-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1931 Martin Luther King Jr Blvd Suite F
Suite F
Tampa, FL 33607

Mailing address

334 E Lake Rd Ste 370
Palm Harbor, FL 34685-2427
Phone (727) 434-2522

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL csv Direct

National Provider Directory

National Provider Directory

Locations

1931 W Mlk Blvd
Ste F
Tampa, FL 33607
Phone (727) 434-2522

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1063016665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 E LAKE RD STE 370",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852427",
            "telephone_number": "727-434-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MARTIN LUTHER KING JR BLVD SUITE F",
            "address_2": "SUITE F",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "727-434-2522",
            "fax_number": "727-441-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-434-2522"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "csv",
            "affiliation": "N",
            "endpointDescription": "csv",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "REVIEWS.RICKYLOCKETT@GMAIL.COM",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Tampa",
            "address_1": "1931 MARTIN LUTHER KING JR BLVD SUITE F",
            "address_2": "SUITE F",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.