West Florida Pet Services LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

WEST FLORIDA PET SERVICES LLC

Practice address

427 South Parsons Ave
Suite 101
Brandon, FL 33511-5980

Phone

(813) 315-2080

Fax

(813) 315-2090

NPI assigned

Jun 21, 2005

Last updated

Aug 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William B. Rutherford

Title

Senior VP

Phone

(615) 309-2190

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1417953852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SOUTH PARSONS AVE",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115980",
            "telephone_number": "813-315-2080",
            "fax_number": "813-315-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SOUTH PARSONS AVE",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115980",
            "telephone_number": "813-315-2080",
            "fax_number": "813-315-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA PET SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "615-309-2190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "V3345",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas C Wendt Jr., D.D.S.
• Michelle Rose Weninger, DDS
• West Florida Cardiology Network, LLC
• West Florida Imaging Services, LLC
• West Florida Pet Services LLC
• Ira Lee West
• Tierra West
• Deidra Westby
• Westcoast Brace & Limb
• Lesly Wester Cuza, APRN

• Mobile Radiology Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.