MANATEE DIAGNOSTIC CENTER LTD NPI 1689760993

NPI Information

  • NPI: 1689760993
  • Provider Name: MANATEE DIAGNOSTIC CENTER, LTD
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 10D2305068
  • Address: 300 RIVERSIDE DR E
    SUITE 4300
    BRODENTON, FL
    ZIP 34208
  • Phone: (941) 747-3034

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NPI Details

MANATEE DIAGNOSTIC CENTER, LTD is a radiology clinic center in Brodenton, FL. MANATEE DIAGNOSTIC CENTER, LTD NPI is 1689760993. The provider is registered as an organization entity type.

The provider's business location address is:

300 RIVERSIDE DR E
SUITE 4300
BRODENTON, FL
ZIP 34208
Phone: (941) 747-3034
Fax: (941) 748-5819

The provider's authorized official is Dowis Graham .
The authorized official title is Executive Director Cfo and has the following contact phone number (941) 747-3034.

The CLIA number assigned to this NPI record is 10D2305068 - other - ind diagnostic test fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 1/21/2016.

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

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
177468MEDICARE ID-TYPE UNSPECIFIED
2376338200MEDICAIDFLORIDA

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: 11/21/2025

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