NPIMap

Organization Active NPI

Manatee Memorial Hospital L P

Doing business as Manatee Diagnostic Center

  • Radiology Clinic/Center
  • Bradenton, FL
National Provider Identifier
1558020552
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MANATEE MEMORIAL HOSPITAL L P
Doing business as
Manatee Diagnostic Center
Practice address
250 2ND St E # 1B
Bradenton, FL 34208-1029
Phone
(941) 746-5111
NPI assigned
Dec 17, 2021
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Steve Filton
Title
Vice President
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

250 2ND St E # 1B
Bradenton, FL 34208-1029

Mailing address

250 2ND St E # 1B
Bradenton, FL 34208-1029
Phone (941) 746-5111

Other names 1

  • Manatee Diagnostic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000789 FL Part B Supplier - Clinic/Group Practice 2062309164 Receives reassigned benefits from 79 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradenton, FL; Wimauma, FL; Lakewood Ranch, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2305068Manatee Diagnostic Center250 2ND St East Suite 1B, Bradenton, FL 34208Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Firstcare Dba MMH13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

250 2nd St E
Ste 1B
Bradenton, FL 34208

250 2nd St E
Ste 3F
Bradenton, FL 34208
Phone (941) 745-6925

5245 33rd St E
Ste 32
Bradenton, FL 34203
Phone (941) 745-7559

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

8770 State Road 70 E
Bradenton, FL 34202
Phone (941) 745-7559

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1558020552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND ST E # 1B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E # 1B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE MEMORIAL HOSPITAL L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.