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Contact Information

NORTHSIDE IMAGING, LLC
14108 GLACIER DRIVE
HUDSON, FL34667
 Phone: 727-861-4490
 Fax: 727-861-4491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NORTHSIDE IMAGING, LLC

NPI # 1063594679
LBN Legal business name NORTHSIDE IMAGING, LLC
Authorized official ROBERT HANKINS - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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