Blake Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BLAKE IMAGING LLC

Doing business as

Blake Imaging

Practice address

2010 59TH Street West
Stuie 1500
Bradenton, FL 34209

Phone

(941) 792-2288

Fax

(941) 798-2197

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Samuel Hankins Jr.

Title

Senior Vice President

Phone

(615) 344-2274

Specialties & licenses 1

Addresses

Other names 1

• Blake Imaging Doing business as

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 1508817172
  NPD tax ID

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689745382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LINSLEY AVE",
            "address_2": "SUITE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-657-4914",
            "fax_number": "813-657-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH STREET WEST",
            "address_2": "STUIE 1500",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34209",
            "telephone_number": "941-792-2288",
            "fax_number": "941-798-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "615-344-2274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blake Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Blackenburg
• 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

• 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.