NPI: 1285631002
Provider Name: ULTRA IMAGING OF TAMPA, LLC
Doing Business As: ULTRA IMAGING OF BRANDON, LLC
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization
Specialization: Radiology, Mammography
Address:
123 W ROBERTSON ST
BRANDON, FL
ZIP 33511
Phone: (813) 681-9674
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ULTRA IMAGING OF TAMPA, LLC is a radiology and mammography clinic center in Brandon, FL. ULTRA IMAGING OF TAMPA, LLC NPI is 1285631002. The provider is registered as an organization entity type.
The provider Is Doing Business As Ultra Imaging Of Brandon, Llc.
The provider's business location address is:
123 W ROBERTSON ST
BRANDON, FL
ZIP 33511-111
Phone: (813) 681-9674
Fax: (813) 681-0944
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 7/7/2005 and was last updated on 8/22/2020.