DIS OF TAMPA BAY INC NPI 1609422146

NPI Information

NPI: 1609422146
Provider Name: DIS OF TAMPA BAY INC

Doing Business As: NEW VISTA DIAGNOSTIC OF FOUNTAIN OAKS

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3635 W WATERS AVE
TAMPA, FL
ZIP 33614
Phone: (813) 408-9161
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DIS OF TAMPA BAY INC is a radiology clinic center in Tampa, FL. DIS OF TAMPA BAY INC NPI is 1609422146. The provider is registered as an organization entity type.
The provider Is Doing Business As New Vista Diagnostic Of Fountain Oaks.

The provider's business location address is:

3635 W WATERS AVE
TAMPA, FL
ZIP 33614-783
Phone: (813) 408-9161

The provider's authorized official is Lessy Rodriguez .
The authorized official title is Administrator and has the following contact phone number (813) 724-3310.

The CLIA number assigned to this NPI record is 10D2212190 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 1/30/2020.

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			Yes

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

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