NORTH BRANDON IMAGING LLC NPI 1649276098

NPI Information

NPI: 1649276098
Provider Name: NORTH BRANDON IMAGING LLC

Doing Business As: TOWER DIAGNOSTIC CENTER OF BRANDON

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

Specialization: Radiology

Address:
613 OAKFIELD DR
BRANDON, FL
ZIP 33511
Phone: (813) 661-2222
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NORTH BRANDON IMAGING LLC is a radiology clinic center in Brandon, FL. NORTH BRANDON IMAGING LLC NPI is 1649276098. The provider is registered as an organization entity type.
The provider Is Doing Business As Tower Diagnostic Center Of Brandon.

The provider's business location address is:

613 OAKFIELD DR
BRANDON, FL
ZIP 33511-714
Phone: (813) 661-2222
Fax: (813) 681-8494

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 6/21/2005 and was last updated on 10/9/2008.

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	U4843	MEDICARE PIN	FLORIDA
2	V3028	OTHER	FLORIDA	BCBS OF FL
3	P00280433	OTHER	FLORIDA	RR MEDICARE
4	272079500	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: 11/14/2023

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