Organization · NPI-2

Active Diagnostic Imaging LLC

Radiologic Technologist, Sonography · Tampa, FL

NPI number1700056009
StatusActive
Last updated in NPPESMar 4, 2008

Details

NPI
1700056009
Entity type
Organization (NPI-2)
Legal business name
Active Diagnostic Imaging LLC
Organization subpart
No
Enumeration date
Mar 3, 2008
Last updated
Mar 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471S1302X Radiologic Technologist, SonographyL08000017078FLYes
2471V0105X Radiologic Technologist, Vascular SonographyL08000017078FL

Practice location

3110 W Gray St
Tampa, FL 33609-1516

Phone 813-348-0049

Mailing address

Po Box 320905
Tampa, FL 33679-2905

Phone 813-348-0049

Authorized official

Jessica Villegas
President
8133480049

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