Active Diagnostic Imaging LLC

Sonography Radiologic Technologist · Tampa, FL

Organization Active NPI

NPI number 1700056009

Practice location

3110 W Gray St
Tampa, FL 33609-1516
Phone
(813) 348-0049

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NPI record

NPI
1700056009
Entity type
Organization (Type 2)
Enumeration date
March 3, 2008
Last updated
March 4, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Sonography Radiologic Technologist Primary 2471S1302X L08000017078 FL
Vascular Sonography Radiologic Technologist 2471V0105X L08000017078 FL

Mailing address

PO Box 320905
Tampa, FL 33679-2905
Phone
(813) 348-0049

Authorized official

Name
Miss Jessica Villegas, RDMS
Title
President
Phone
(813) 348-0049

About Active Diagnostic Imaging LLC

Active Diagnostic Imaging LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Sonography Radiologic Technologist (code 2471S1302X). The practice location is 3110 W Gray St, Tampa, FL 33609-1516. The NPI number 1700056009 was assigned on March 3, 2008 and the record was last updated on March 4, 2008.

Active Diagnostic Imaging LLC lists 2 licenses in the registry: #L08000017078 (FL) for Sonography Radiologic Technologist; #L08000017078 (FL) for Vascular Sonography Radiologic Technologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Miss Jessica Villegas, RDMS, President.

Frequently asked questions

What is the NPI number of Active Diagnostic Imaging LLC?

The NPI number is 1700056009.

What is the phone number of Active Diagnostic Imaging LLC?

The phone number listed for the practice location is (813) 348-0049.

Where is Active Diagnostic Imaging LLC located?

3110 W Gray St, Tampa, FL 33609-1516.

What is the taxonomy code for Active Diagnostic Imaging LLC?

The primary taxonomy code is 2471S1302X – Sonography Radiologic Technologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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