Midtown Diagnostic LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MIDTOWN DIAGNOSTIC LLC

Practice address

1217 East Avenue South
Ste 105
Sarasota, FL 34239

Phone

(941) 365-9150

Fax

(941) 365-2517

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lavelle Hardin

Title

VP

Phone

(615) 344-8203

Specialties & licenses 3

Addresses

Other names 1

• dba Midtown Radiology Doing business as

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1639216401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 EAST AVENUE SOUTH",
            "address_2": "STE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-365-9150",
            "fax_number": "941-365-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 EAST AVENUE SOUTH",
            "address_2": "STE 105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-365-9150",
            "fax_number": "941-365-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_title_or_position": "VP",
        "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": "dba Midtown Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott A Middleton, DMD, MD
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• Midtown Diagnostic LLC
• Midtown Diagnostic LLC
• Midtown Diagnostic LLC
• Midtown Diagnostics LLC
• Midtown Diagnostics LLC
• Midtown Diagnostics LLC
• Midtown Diagnostics LLC
• Miguel Rivera MD PA

• Radiology Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Radiology Clinic/Center in Florida

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