Blake Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BLAKE IMAGING, LLC

Practice address

2010 59TH St W
Suite 1500
Bradenton, FL 34209-4616

Phone

(941) 792-6611

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

(615) 344-2274

Specialties & licenses 1

Addresses

Tax ID family

Blake 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.

• Blake Imaging LLC

  • Diagnostic Radiology Physician
  • Bradenton, FL
  • NPI 1689745382
  NPD tax ID

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": "1508817172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE 1500",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094616",
            "telephone_number": "941-792-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE 1500",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094616",
            "telephone_number": "941-792-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE 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": "615-344-2274"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan L Blackford-Heintz, DC
• Lisa Ann Blacklidge, PA-C
• Robert E Blackwood, MD
• Jaina Louise Blaine, CF-SLP
• Blake Imaging LLC
• Caitlin Blanchard, D.A.
• Dominique Renee Blanchard, LMT
• Scott Blanchard, RDMS
• Yainet Blanco, DMD
• Carmon E Bland, MA, LMHC

• Diagnostic Radiology Physician in Bradenton, FL
• Providers in Bradenton, 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.