NORTHSIDE IMAGING LLC NPI 1063594679

NPI Information

  • NPI: 1063594679
  • Provider Name: NORTHSIDE IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: BAYONET POINT IMAGING
  • Address: 14108 GLACIER DRIVE
    HUDSON, FL
    ZIP 34667
  • Phone: (727) 861-4490

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NPI Details

NORTHSIDE IMAGING, LLC is a diagnostic radiology radiology in Hudson, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHSIDE IMAGING, LLC NPI is 1063594679. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bayonet Point Imaging.

The provider's business location address is:

14108 GLACIER DRIVE
HUDSON, FL
ZIP 34667
Phone: (727) 861-4490
Fax: (727) 861-4491

The provider's authorized official is Robert Samuel Hankins .
The authorized official title is Senior Vice President and has the following contact phone number (615) 344-2274.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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