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TOWER IMAGING LLC NPI 1811173768


NPI Information

NPI: 1811173768
Provider Name: TOWER IMAGING LLC

Doing Business As: TGH IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D1077677

Address:
2716 UNIVERSITY SQUARE DR
TOWER BREAST DIAGNOSTIC CENTER NORTHSIDE
TAMPA, FL
ZIP 33612
Phone: (813) 971-2050
Get Directions

TOWER IMAGING LLC is a diagnostic radiology radiology in Tampa, 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 1811173768. 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:

2716 UNIVERSITY SQUARE DR
TOWER BREAST DIAGNOSTIC CENTER NORTHSIDE
TAMPA, FL
ZIP 33612-513
Phone: (813) 971-2050
Fax: (813) 972-4888

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 10D1077677 - other - radiology center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2008 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085P0229XRadiologyPediatric RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyHCC4925FLORIDAYes
3261QR0200XClinic/CenterRadiologyHCC4925FLORIDANo

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
1043166405MEDICAIDFLORIDA

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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