Adventhealth West Florida Imaging Inc
Organization Active NPI Radiology Clinic/Center · Riverview, FL
NPI 1760199517 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1760199517
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ADVENTHEALTH WEST FLORIDA IMAGING INC
- Practice address
- 13403 Boyette Rd
Riverview, FL 33569-8742 - Phone
- (813) 803-4052
- NPI assigned
- Nov 1, 2022
- Organization subpart
- No
Authorized official
- Name
- James C Presswood
- Title
- Cfo
- Phone
- (386) 615-4237
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Practitioners 17
-
Anastasia Frances Barron, D.O.
-
Rachel Helen Braunstein, M.D.
-
Adriana Marcano Fox, M.D.
-
Jennifer Parnaz Huckabee, M.D.
-
Sharon A Kane, MD
-
Michael A Rogoff, M.D.
-
Omar Ashour, M.D.
-
Lindsey Lea Grandbois, D.O.
-
Ezinne Akunna Lawson, M.D.
-
Yuzhou Liu, MD
-
Anthony Turk, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2275931 | Adventhealth Imaging Center Bloomingdale | Certificate of waiver | Jan 30, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230509000410 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6901232495 | Practice locations: Riverview, FL |
National Provider Directory
- Tax ID family
- Adventhealth W FL Img Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
13403 Boyette Rd
Riverview, FL 33569-8742
Mailing address
14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Other names
- AdventHealth Imaging Center Bloomingdale
Other providers in Riverview, FL
- Advanced Wound Solutions LLC
- Adventhealth Riverview
- Adventhealth Riverview
- Adventhealth Riverview
- Adventhealth Riverview Inc
- Adventist Health System/Sunbelt, Inc.
- Afdic Moffett P.a
- Agape Holistic Therapuetic Services
- Laritza Aguilar Vega
- Karla D. Aguilu
All providers in Riverview, FL · Radiology Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.