Organization Active NPI

Afo Imaging Inc

Doing business as Advanced Diagnostic Group

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1740366764
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AFO IMAGING INC
Doing business as
Advanced Diagnostic Group
Practice address
3104 W Waters Ave
Suite 106
Tampa, FL 33614-2800
Phone
(813) 463-4444
Fax
(813) 849-6349
NPI assigned
Oct 31, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AFO IMAGING INC DBA ADVANCED DIAGNOSTIC GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mr. Greg Gambill
Title
Vice President & Associate General
Phone
(303) 414-2037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3104 W Waters Ave
Suite 106
Tampa, FL 33614-2800

Mailing address

8300 W Sunrise Blvd
Plantation, FL 33322-5406
Phone (754) 206-6226

Other names 1

  • Advanced Diagnostic Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20130402000361 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Orlando, FL
O20130402000385 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Tampa, FL
O20130402000395 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Kissimmee, FL
O20130919000689 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Orlando, FL
O20131017002002 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Brandon, FL
O20150430002388 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Palm Beach Gardens, FL
O20150825004033 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Lakeland, FL
O20170105000649 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Jupiter, FL
O20190729000281 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: West Palm Beach, FL
O20190729003342 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335121011 Practice locations: Lutz, FL

National Provider Directory

National Provider Directory
Part of
Afo Imaging Inc

Member organizations 1

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

Locations

500 University Blvd
Ste 107
Jupiter, FL 33458
Phone (561) 775-6600

500 University Blvd
Ste 107114
Jupiter, FL 33458
Phone (561) 775-6600

22299 State Road 54
Ste 104
Lutz, FL 33549
Phone (813) 328-2020

6388 Silver Star Rd
Ste 1A
Orlando, FL 32818
Phone (407) 298-2829

6388 Silver Star Rd
Ste 1H
Orlando, FL 32818
Phone (407) 298-2828

775 N Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 581-4099

607 W Dr Martin Luther King Jr Blvd
Ste 103
Tampa, FL 33603
Phone (813) 238-3833

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 106

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 106

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1740366764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225406",
            "telephone_number": "754-206-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 W WATERS AVE",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142800",
            "telephone_number": "813-463-4444",
            "fax_number": "813-849-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFO IMAGING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFO IMAGING INC DBA ADVANCED DIAGNOSTIC GROUP",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "GAMBILL",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "VICE PRESIDENT & ASSOCIATE GENERAL",
        "authorized_official_telephone_number": "303-414-2037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Diagnostic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.