National Provider Identifier Database

BAYCARE OUTPATIENT IMAGING LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BAYCARE OUTPATIENT IMAGING LLC
4503 BRUCE B. DOWNS BLVLD.
SUITE 104
WESLEY CHAPEL, FL33544
Phone: 813-586-8500
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for BAYCARE OUTPATIENT IMAGING LLC

NPI Number 1235898529
Legal business name
LBN
BAYCARE OUTPATIENT IMAGING LLC
Authorized official LYNDA GORKEN - (VP PATIENT FINANCIAL SERVICES)
Entity Organization
Organization subpart No
Enumeration date 12/14/2021
Last updated 05/24/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 101818503

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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