Tampa Bay Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC5727 Issued in FL

Legal business name

TAMPA BAY IMAGING LLC

Practice address

2700 W Dr Martin Luther King Jr Blvd
Suite 130
Tampa, FL 33607-6386

Phone

(813) 386-3674

Fax

(813) 386-0499

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Darin Barker

Title

Administrator

Phone

(813) 386-3674

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tampa Bay Imaging LLC

  • Radiology Clinic/Center
  • Pinellas Park, FL
  • NPI 1912952482

  8022002989

  Same PAC ID

Tax ID family

Tampa Bay Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tampa Bay Imaging LLC

  • Radiology Clinic/Center
  • Pinellas Park, FL
  • NPI 1912952482
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Carl Anderson

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1871547737
  NPD
• Aristides Felipe Fernandez-Abril, MD

  • Diagnostic Radiology Physician
  • Coral Gables, FL
  • NPI 1760583561
  NPD
• Lidia Linetsky, M.D.

  • Diagnostic Radiology Physician
  • Clearwater, FL
  • NPI 1992804934
  NPD
• Michael S Thorpe, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1124087614
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1790718096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076386",
            "telephone_number": "813-386-3674",
            "fax_number": "813-386-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076386",
            "telephone_number": "813-386-3674",
            "fax_number": "813-386-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-386-3674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC5727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "241688",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2674773001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "P00062673",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2942",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007411287",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "195641",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.