BAYCARE OUTPATIENT IMAGING LLC NPI 1366067712

NPI Information

BAYCARE OUTPATIENT IMAGING LLC is a diagnostic radiology radiology in Tampa, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BAYCARE OUTPATIENT IMAGING LLC NPI is 1366067712. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

711 S DALE MABRY HWY
TAMPA, FL
ZIP 33609-445
Phone: (813) 259-1900
Fax: (813) 635-2613

The provider's authorized official is Lynda Gorken .
The authorized official title is Vice President and has the following contact phone number (727) 281-9202.

The CLIA number assigned to this NPI record is 10D2189779 - other - outpatient imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 4/19/2021.

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:

Other Identifiers

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