Organization Active NPI

Womens Diagnostic Center, Inc

  • Radiology Clinic/Center
  • Brandon, FL
National Provider Identifier
1477607117
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WOMENS DIAGNOSTIC CENTER, INC
Practice address
1357 Oakfield Dr
Brandon, FL 33511-4841
Phone
(813) 684-5144
Fax
(813) 684-5084
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Mr. Abdullah Ghaedi
Title
Vice President
Phone
(813) 684-5144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Mammography Clinic/Center 261QR0206X 161638 FL

Addresses

Primary practice location

1357 Oakfield Dr
Brandon, FL 33511-4841

Mailing address

1357 Oakfield Dr
Brandon, FL 33511-4841
Phone (813) 684-5144

National Provider Directory

National Provider Directory

Locations

1357 Oakfield Dr
Brandon, FL 33511
Phone (813) 684-5144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1477607117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114841",
            "telephone_number": "813-684-5144",
            "fax_number": "813-684-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114841",
            "telephone_number": "813-684-5144",
            "fax_number": "813-684-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS DIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "GHAEDI",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-684-5144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "161638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.