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ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES INC NPI 1255593893


NPI Information

NPI: 1255593893
Provider Name: ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES, INC

Doing Business As: BAYCARE OUTPATIENT IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D2009651

Address:
900 CARILLON PKWY
ST PETERSBURG, FL
ZIP 33716
Phone: (727) 561-2340
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ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES, INC is a diagnostic radiology radiology in St Petersburg, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES, INC NPI is 1255593893. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Baycare Outpatient Imaging.

The provider's business location address is:

900 CARILLON PKWY
ST PETERSBURG, FL
ZIP 33716-115
Phone: (727) 561-2340

The provider's authorized official is Tamblyn Cubero .
The authorized official title is Manager and has the following contact phone number (727) 281-9390.

The CLIA number assigned to this NPI record is 10D2009651 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 1/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019364700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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