South Bay Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH BAY IMAGING, LLC

Practice address

4051 Upper Creek Dr
Suite 103
Sun City Center, FL 33573-6825

Phone

(813) 634-8329

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Sam Hankins

Title

Cfo

Phone

(813) 634-8329

Specialties & licenses 1

Addresses

Tax ID family

South Bay Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Bay Imaging LLC

  • Diagnostic Radiology Physician
  • Sun City Center, FL
  • NPI 1306917034
  NPD tax ID

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427009018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 103",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 103",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-634-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-634-8329"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Amanda Spencer

• Diagnostic Radiology Physician in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Diagnostic Radiology Physician in Florida

• 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.

Verify at the official NPI Registry.