NPIMap

Organization Active NPI

Northside Imaging LLC

Doing business as Northside Imaging Center

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1740351477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHSIDE IMAGING LLC
Doing business as
Northside Imaging Center
Practice address
6006 49TH Street North
Suite 140
St Petersburg, FL 33709
Phone
(727) 528-5900
Fax
(727) 528-5913
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6006 49TH Street North
Suite 140
St Petersburg, FL 33709

Mailing address

122 Linsley Avenue
Suite a
Brandon, FL 33511
Phone (813) 657-4914

Other names 1

  • Northside Imaging Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northside Imaging Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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": "1740351477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LINSLEY AVENUE",
            "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": "6006 49TH STREET NORTH",
            "address_2": "SUITE 140",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-528-5900",
            "fax_number": "727-528-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE 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": "Northside Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • 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.