Organization Active NPI

New Vista Diagnostic Imaging Services LLC

  • Radiology Clinic/Center
  • Tampa, FL
National Provider Identifier
1942721493
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NEW VISTA DIAGNOSTIC IMAGING SERVICES LLC
Practice address
2802 W Waters Ave Ste 1
Tampa, FL 33614-1853
Phone
(813) 724-3310
Fax
(813) 280-4923
NPI assigned
Jul 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lessy Rodriguez
Title
Administrator
Phone
(813) 724-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2802 W Waters Ave Ste 1
Tampa, FL 33614-1853

Mailing address

2802 W Waters Ave Ste 1
Tampa, FL 33614-1853
Phone (813) 724-3310

National Provider Directory

National Provider Directory

Locations

2802 W Waters Ave
Ste 1
Tampa, FL 33614
Phone (813) 724-3310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942721493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 W WATERS AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-724-3310",
            "fax_number": "813-280-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W WATERS AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141853",
            "telephone_number": "813-724-3310",
            "fax_number": "813-280-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISTA DIAGNOSTIC IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LESSY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-724-3310"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.