Active NPI
Ultra Imaging of Tampa LLC
- Radiology Clinic/Center
- St Petersburg, FL
National Provider Identifier
1467459289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- ULTRA IMAGING OF TAMPA LLC
- Practice address
- 6449 38TH Ave N
Suite B-3
St Petersburg, FL 33710-1655 - Phone
- (727) 381-1674
- Fax
- (727) 381-4226
- NPI assigned
- Jul 7, 2005
- 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. Lavelle R Hardin
- Title
- Credentialing Coordinator
- Phone
- (615) 344-8203
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | |||
| Radiology Clinic/Center | 261QR0200X | Primary | ||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
6449 38TH Ave N
Suite B-3
St Petersburg, FL 33710-1655
Mailing address
6449 38TH Ave N
Suite B-3
St Petersburg, FL 33710-1655
Phone (727) 381-1674
Other names 1
- Ultra Imaging of St. Petersburg LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1407845548
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": "1467459289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6449 38TH AVE N",
"address_2": "SUITE B-3",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101655",
"telephone_number": "727-381-1674",
"fax_number": "727-381-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6449 38TH AVE N",
"address_2": "SUITE B-3",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101655",
"telephone_number": "727-381-1674",
"fax_number": "727-381-4226"
}
],
"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": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ultra Imaging of St. Petersburg LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Petersburg, 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.