SOUTH BRANDON IMAGING LLC NPI 1124028824

NPI Information

NPI: 1124028824
Provider Name: SOUTH BRANDON IMAGING LLC

Doing Business As: TOTAL IMAGING ROBERTSON

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
737 W BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 657-7575
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SOUTH BRANDON IMAGING LLC is a radiology clinic center in Brandon, FL. SOUTH BRANDON IMAGING LLC NPI is 1124028824. The provider is registered as an organization entity type.
The provider Is Doing Business As Total Imaging Robertson.

The provider's business location address is:

737 W BRANDON BLVD
BRANDON, FL
ZIP 33511-901
Phone: (813) 657-7575
Fax: (813) 684-3040

The provider's authorized official is Lavelle Hardin .
The authorized official title is Credentialing Coordinator and has the following contact phone number (615) 344-8203.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 3/18/2008.

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	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
2	261QR0206X	Clinic/Center	Radiology, Mammography	No
3	261QR0200X	Clinic/Center	Radiology	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U4841	MEDICARE PIN	FLORIDA
2	P00273457	OTHER	FLORIDA	RR MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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