Organization Active NPI

Stand Up MRI of Tampa,LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1902911977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC6372 Issued in FL
Legal business name
STAND UP MRI OF TAMPA,LLC
Practice address
2605 W Kennedy Blvd
Tampa, FL 33609-3201
Phone
(813) 876-7200
Fax
(813) 876-7300
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph S McCandrew
Title
Coo
Phone
(813) 876-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC6372 FL Primary

Addresses

Primary practice location

2605 W Kennedy Blvd
Tampa, FL 33609-3201

Mailing address

2605 W Kennedy Blvd
Tampa, FL 33609-3201
Phone (813) 876-7200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902911977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093201",
            "telephone_number": "813-876-7200",
            "fax_number": "813-876-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093201",
            "telephone_number": "813-876-7200",
            "fax_number": "813-876-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND UP MRI OF TAMPA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCANDREW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-876-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC6372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.