Organization Active NPI

Crystal Clear Imaging Inc

  • Sonography Specialist/Technologist Cardiovascular
  • St Petersburg, FL
National Provider Identifier
1750642229
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
CRYSTAL CLEAR IMAGING INC
Practice address
4051 Fargo St N
Saint Petersburg, FL 33714-4550
Phone
(941) 228-8660
NPI assigned
May 31, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Mrs. Crystal Mercado
Title
Secretary
Phone
(941) 228-8660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X Primary
Sonography Radiologic Technologist 2471S1302X
Vascular Sonography Radiologic Technologist 2471V0105X

Addresses

Primary practice location

4051 Fargo St N
Saint Petersburg, FL 33714-4550

Mailing address

PO Box 21644
St Petersburg, FL 33742-1644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1750642229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21644",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337421644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 FARGO ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337144550",
            "telephone_number": "941-228-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "941-228-8660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 13, 2012; 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.