Active NPI
Crystal Clear Imaging Inc
- Sonography Specialist/Technologist Cardiovascular
- St Petersburg, FL
National Provider Identifier
1750642229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.