Organization Active NPI

Clearview Imaging LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • Tampa, FL
National Provider Identifier
1891915583
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
JR3754400 Issued in FL
Legal business name
CLEARVIEW IMAGING LLC
Practice address
3707 W Hamilton Ave
Tampa, FL 33614-4067
Phone
(813) 932-8868
Fax
(813) 932-2826
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mrs. Debbi Lynn Harlan
Title
Administrator
Phone
(813) 932-8868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471M1202X JR3754400 FL Primary

Addresses

Primary practice location

3707 W Hamilton Ave
Tampa, FL 33614-4067

Mailing address

3707 W Hamilton Ave
Tampa, FL 33614-4067
Phone (813) 932-8868

Other identifiers 2

IdentifierTypeStateIssuer
46612OtherFLBLUE CROSS BLUE SHIELD
260707700MedicaidFL

Other names 1

  • CLEARVIEW OPEN MRI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000628 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2668365495 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

3707 W Hamilton Ave
Tampa, FL 33614
Phone (813) 932-8868

3707 W Hamilton Ave
Ste B
Tampa, FL 33614
Phone (813) 932-8868

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1891915583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144067",
            "telephone_number": "813-932-8868",
            "fax_number": "813-932-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144067",
            "telephone_number": "813-932-8868",
            "fax_number": "813-932-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-932-8868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "FL",
            "license": "JR3754400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46612",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260707700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARVIEW OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.