Tower Imaging LLC
Organization Active NPI Diagnostic Radiology Physician · Brandon, FL
NPI 1770744641 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1770744641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- TOWER IMAGING LLC
- Practice address
- 3350 Bell Shoals Rd
Bloomingdale Radiology Center
Brandon, FL 33511-7637 - Phone
- (813) 654-4883
- NPI assigned
- Jun 23, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- TOWER IMAGING LLC
Authorized official
- Name
- Sherri Lewman, MHA
- Title
- SVP Enterprise Imaging
- Phone
- (813) 261-2400
Other NPIs on the same Medicare enrollment 26
Corporate family (same tax ID) 24
Practitioners 12
-
Kenneth E Baker, MD
-
Travis Foster, MD
-
Paul R Karlinsky, MD
-
Thomas David Fisher, M.D.
-
Eddie Hyatt, M.D.
-
Ashley Maru, M.D.
-
Kamal Massis, M.D.
-
Shelly P Baumann, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1081049 | Tower Imaging LLC | Certificate of waiver | Mar 9, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713000446 | FL | Part B Supplier - Clinic/Group Practice | 2860470077 |
Receives reassigned benefits from 207 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Raul R Otero
- Part of
- Raul R Otero
Locations
8800 Grand Oak Cir
Ste 400
Tampa, FL 33637
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician |
2085N0904X | |||
| Pediatric Radiology Physician |
2085P0229X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Radiology Clinic/Center | 261QR0200X | HCC7028 | FL |
Addresses
Primary practice location
3350 Bell Shoals Rd
Bloomingdale Radiology Center
Brandon, FL 33511-7637
Mailing address
8800 Grand Oak Cir Ste 400
Tampa, FL 33637-2006
Phone (813) 253-2721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043166408 | Medicaid | FL |
Other names
- TGH Imaging
NPI Registry JSON
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1770744641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 GRAND OAK CIR STE 400",
"city": "TAMPA",
"state": "FL",
"postal_code": "336372006",
"telephone_number": "813-253-2721",
"fax_number": "813-254-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 BELL SHOALS RD",
"address_2": "BLOOMINGDALE RADIOLOGY CENTER",
"city": "BRANDON",
"state": "FL",
"postal_code": "335117637",
"telephone_number": "813-654-4883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWER IMAGING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWER IMAGING LLC",
"enumeration_date": "2008-06-23",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "LEWMAN",
"authorized_official_first_name": "SHERRI",
"authorized_official_title_or_position": "SVP ENTERPRISE IMAGING",
"authorized_official_telephone_number": "813-261-2400",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "HCC7028",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043166408",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TGH Imaging",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 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.