DIS OF TAMPA BAY INC NPI 1609422146

NPI Information

  • NPI: 1609422146
  • Provider Name: DIS OF TAMPA BAY INC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: NEW VISTA DIAGNOSTIC OF FOUNTAIN OAKS
  • CLIA Number: 10D2212190
  • Address: 3635 W WATERS AVE
    TAMPA, FL
    ZIP 33614
  • Phone: (813) 408-9161

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NPI Details

DIS OF TAMPA BAY INC is a radiology clinic center in Tampa, FL. DIS OF TAMPA BAY INC NPI is 1609422146. The provider is registered as an organization entity type.
The provider Is Doing Business As New Vista Diagnostic Of Fountain Oaks.

The provider's business location address is:

3635 W WATERS AVE
TAMPA, FL
ZIP 33614-783
Phone: (813) 408-9161

The provider's authorized official is Lessy Rodriguez .
The authorized official title is Administrator and has the following contact phone number (813) 724-3310.

The CLIA number assigned to this NPI record is 10D2212190 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 1/30/2020.

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
1261QR0200XClinic/CenterRadiologyYes

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: 3/30/2025

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