Active NPI
South Bay Imaging LLC
- Diagnostic Radiology Physician
- Sun City Center, FL
National Provider Identifier
1306917034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SOUTH BAY IMAGING LLC
- Doing business as
- South Bay Imaging
- Practice address
- 4051 Upper Creek Drive
Suite 103
Sun City Center, FL 33573 - Phone
- (813) 634-8329
- Fax
- (813) 642-8097
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Samuel Hankins Jr.
- Title
- Senior Vice President
- Phone
- (615) 344-2274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4051 Upper Creek Drive
Suite 103
Sun City Center, FL 33573
Mailing address
122 Linsley Ave
Suite a
Brandon, FL 33511
Phone (813) 657-4914
Other names 1
- South Bay Imaging
National Provider Directory
National Provider Directory- Tax ID family
- South Bay Imaging
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Sun City Center, FL
- NPI 1427009018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306917034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 LINSLEY AVE",
"address_2": "SUITE A",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-657-4914",
"fax_number": "813-657-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4051 UPPER CREEK DRIVE",
"address_2": "SUITE 103",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "33573",
"telephone_number": "813-634-8329",
"fax_number": "813-642-8097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BAY IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANKINS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "SAMUEL",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "615-344-2274",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Bay Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sun City Center, FL
- Zachary Snyder, PT, DPT
- Jamie Santos Solana, M.D.
- Sheida Soroory
- South Bay Hospital Outpatient Diag/Imaging Ctr
- South Bay Hospital Outpatient Diagnostic/Imaging Center
- South Bay Imaging, LLC
- South Bay Neurology and Total Spine Care, P.a.
- South Bay Surgical Group PA
- Southeast Eye Institute, PA
- Southern Home Care Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.