NPIMap

Organization Active NPI

Ultra Imaging of Tampa LLC

Doing business as Ultra Imaging of Mid-Pinellas

  • Radiology Clinic/Center
  • Largo, FL
National Provider Identifier
1427055177
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ULTRA IMAGING OF TAMPA LLC
Doing business as
Ultra Imaging of Mid-Pinellas
Practice address
13787 Belcher Rd S
Suite 300
Largo, FL 33771-4065
Phone
(727) 497-1674
Fax
(727) 497-4674
NPI assigned
Jul 7, 2005
Last updated
Aug 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mr. Lavelle R Hardin
Title
Credentialing Coordinator
Phone
(615) 344-8203

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU
Radiology Clinic/Center 261QR0200X NU Primary
Mammography Clinic/Center 261QR0206X NU

Addresses

Primary practice location

13787 Belcher Rd S
Suite 300
Largo, FL 33771-4065

Mailing address

13787 Belcher Rd S
Ste 300
Largo, FL 33771-4065
Phone (813) 657-4914

Other names 1

  • Ultra Imaging of Mid-Pinellas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dba Ultra Imaging of Lakeland9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1427055177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13787 BELCHER RD S",
            "address_2": "STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "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": "13787 BELCHER RD S",
            "address_2": "SUITE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "telephone_number": "727-497-1674",
            "fax_number": "727-497-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA IMAGING OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-344-8203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra Imaging of Mid-Pinellas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.