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Organization

Total Imaging-north St Petersburg Llc

Radiology Clinic/Center in St Petersburg, FL(View on Map)

Legal Business Name

Total Imaging-north St Petersburg Llc

NPI Number

1639254543

NPI Type

Organization

Enumeration Date

10/26/2006

Specialties

(Taxonomies)

Name

Radiology Clinic/Center
Magnetic Resonance Imaging (MRI) Clinic/Center
Mammography Clinic/Center

Code

261QR0200X
261QM1200X
261QR0206X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

6006 49TH ST N
6006 49TH ST N

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33709-2148
33709-2148

Country

US
US

Telephone Number

(727) 528-5900
(727) 528-5900

Authorized Official

Name

Lavelle Hardin

Title or Position

CREDENTIALING COORDINATOR

Telephone Number

(615) 344-8203

Identifiers

Identifier

V3085

Identifier State

FL

Identifier Issuer

BCBS OF FL

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/11/2008

Provider Address

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