ADVANTAGE OPEN MRI OF TAMPA NPI 1225069891

NPI Information

NPI: 1225069891
Provider Name: ADVANTAGE OPEN MRI OF TAMPA
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
3104 W WATERS AVE
#14
TAMPA, FL
ZIP 33634
Phone: (813) 935-5332
Get Directions

ADVANTAGE OPEN MRI OF TAMPA is a magnetic resonance imaging (mri) clinic center in Tampa, FL. ADVANTAGE OPEN MRI OF TAMPA NPI is 1225069891. The provider is registered as an organization entity type.

The provider's business location address is:

3104 W WATERS AVE
#14
TAMPA, FL
ZIP 33634
Phone: (813) 935-5332
Fax: (813) 933-5849

The provider's authorized official is Gary Mark Smith .
The authorized official title is President Owner and has the following contact phone number (727) 939-2674.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	HCC6139	FLORIDA	No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	8176	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U4395	MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

NPI Synchronization or Removal

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