NPIMap

Organization Active NPI

Advanced Imaging, LLP

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
National Provider Identifier
1124003702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED IMAGING, LLP
Practice address
1840 Mease Dr
Suite 103
Safety Harbor, FL 34695-6602
Phone
(727) 725-6491
NPI assigned
Dec 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Fredrick J. Carolan, MDNPI 1831189521
Title
President
Phone
(727) 725-6491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1840 Mease Dr
Suite 103
Safety Harbor, FL 34695-6602

Mailing address

PO Box 14959
Clearwater, FL 33766-4959
Phone (727) 793-9300

Other identifiers 1

IdentifierTypeStateIssuer
34304OtherFLBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124003702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14959",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337664959",
            "telephone_number": "727-793-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 103",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-725-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAROLAN",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-725-6491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.