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Total Imaging-North St Petersburg LLC

Clinic/Center, Radiology in Hudson, FL. Organization (NPI-2).

NPI number1700850872
StatusActive
Last updated in NPPESSep 11, 2008

Details

NPI
1700850872
Entity type
Organization (NPI-2)
Legal business name
Total Imaging-North St Petersburg LLC
Organization subpart
No
Enumeration date
Feb 15, 2006
Last updated
Sep 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0200X Clinic/Center, Radiology––Yes
261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)––
261QR0206X Clinic/Center, Radiology, Mammography––

Other names

  • Total Imaging-Hudson (Doing Business As)

Practice location

14108 Glacier Dr
Hudson, FL 34667

Phone 727-861-4490 · Fax 727-861-4491

Mailing address

14108 Glacier Dr
Hudson, FL 34667-8595

Phone 727-861-4490 · Fax 727-869-5480

Authorized official

Lavelle Hardin
Managed Care Analyst
6153448203

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