TOWER IMAGING LLC NPI 1629218573

NPI Information

NPI: 1629218573
Provider Name: TOWER IMAGING LLC

Doing Business As: TGH IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D2085074

Address:
17503 DALE MABRY HWY N
TOWER RADIOLOGY CENTER - N DALE MABRY
LUTZ, FL
ZIP 33548
Phone: (813) 968-4540
Get Directions

TOWER IMAGING LLC is a diagnostic radiology radiology in Lutz, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TOWER IMAGING LLC NPI is 1629218573. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tgh Imaging.

The provider's business location address is:

17503 DALE MABRY HWY N
TOWER RADIOLOGY CENTER - N DALE MABRY
LUTZ, FL
ZIP 33548-521
Phone: (813) 968-4540
Fax: (813) 968-4502

The provider's authorized official is John Martin .
The authorized official title is Director Of Revenue Cycle Mgmt and has the following contact phone number (813) 261-2400.

The CLIA number assigned to this NPI record is 10D2085074 - other - radiology center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 3/27/2024.

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
1	2085P0229X	Radiology	Pediatric Radiology			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes
3	261QR0200X	Clinic/Center	Radiology	HCC7359	FLORIDA	No

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	271846404	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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