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Contact Information

MANATEE DIAGNOSTIC CENTER,LTD
2301 60TH STREET COURT WEST
SUITE C
BRADENTON, FL34209
 Phone: 941-747-3034
 Fax: 941-748-5819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MANATEE DIAGNOSTIC CENTER,LTD

NPI Number 1235406646
LBN Legal business name MANATEE DIAGNOSTIC CENTER,LTD
Authorized official DAVID GRAHAM - (EXECTIVE DIRECTOR/CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/30/2011
Last updated 01/12/2016 - About 10 years ago
Identifiers
FL License # ME6540
FL Medicaid 48245500
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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