NPIMap

Organization Active NPI

Itf Mobile BX, LLC

  • Mobile Radiology Clinic/Center
  • Tampa, FL
National Provider Identifier
1346584075
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
ME 63242 Issued in FL
Legal business name
ITF MOBILE BX, LLC
Practice address
4128 Causeway Vista Dr
Tampa, FL 33615-5416
Phone
(727) 505-3098
Fax
(813) 882-3679
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Denis William Stewart, M.D.
Title
President
Phone
(727) 505-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X ME 63242 FL Primary

Addresses

Primary practice location

4128 Causeway Vista Dr
Tampa, FL 33615-5416

Mailing address

4128 Causeway Vista Dr
Tampa, FL 33615-5416
Phone (727) 505-3098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1346584075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 CAUSEWAY VISTA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155416",
            "telephone_number": "727-505-3098",
            "fax_number": "813-882-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 CAUSEWAY VISTA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336155416",
            "telephone_number": "727-505-3098",
            "fax_number": "813-882-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITF MOBILE BX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-505-3098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "ME 63242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 19, 2012; 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.