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MIDTOWN DIAGNOSTIC LLC NPI 1639216401


NPI Information

NPI: 1639216401
Provider Name: MIDTOWN DIAGNOSTIC LLC

Doing Business As: DBA MIDTOWN RADIOLOGY

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

Specialization: Radiology

Address:
1217 EAST AVENUE SOUTH
STE 105
SARASOTA, FL
ZIP 34239
Phone: (941) 365-9150
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MIDTOWN DIAGNOSTIC LLC is a radiology clinic center in Sarasota, FL. MIDTOWN DIAGNOSTIC LLC NPI is 1639216401. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Midtown Radiology.

The provider's business location address is:

1217 EAST AVENUE SOUTH
STE 105
SARASOTA, FL
ZIP 34239
Phone: (941) 365-9150
Fax: (941) 365-2517

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

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/16/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0206XClinic/CenterRadiology, MammographyNo
3261QR0200XClinic/CenterRadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AD268CMEDICARE PINFLORIDA

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: 4/28/2024

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