<Unavail>

LBN: St Joseph'S Diagnostic Center Llc
<Unavail> is an health care organization with primary practice located at 17512 Dona Michelle Dr Ste 5 , Tampa FL 33647-3265. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. St Joseph'S Diagnostic Center Llc can be contacted via phone (813) 586-7650, or through Cubero, Tamblyn via phone (727) 281-9093.

Contact Information

Primary practice address
17512 Dona Michelle Dr Ste 5 Tampa FL 33647-3265
Phone: (813) 586-7650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cubero, Tamblyn
Phone: (727) 281-9093

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1821527474
LBN Legal business name St Joseph'S Diagnostic Center Llc
DBA Doing business as <Unavail>
Authorized official Cubero, Tamblyn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2017
Last updated Jan 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821527474 NPPES
Florida MEDICAID 061048806

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