BAYCARE OUTPATIENT IMAGING – NPI #1699062422
Radiology

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

BAYCARE OUTPATIENT IMAGING is a radiologist located in TAMPA, FL. NPPES has assigned the NPI number 1699062422 to BAYCARE OUTPATIENT IMAGING on June 30, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAYCARE OUTPATIENT IMAGING” is a dba name, the actual legal business name for this organization is ST JOSEPH'S DIAGNOSTIC CENTER LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Jan 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYCARE OUTPATIENT IMAGING below.

NPI Profile for
ST JOSEPH'S DIAGNOSTIC CENTER LLC

NPI Number
1699062422
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JOSEPH'S DIAGNOSTIC CENTER LLC
Doing Business As (dba): BAYCARE OUTPATIENT IMAGING
Primary location
12780 RACE TRACK RD
SUITE 100
TAMPA, FL 33626-1397
Phone: (813) 749-7810 Fax:
Mailing address
2995 DREW STREET
EAST BLDG 2ND FLOOR
CLEARWATER, FL 33759
Phone: (727) 281-9390 Fax:
Organization Subpart
No
Authorized Official
TAMBLYN CUBERO
MANAGER
Phone: (727) 281-9390
Updated
Identifiers

Identifiers for BAYCARE OUTPATIENT IMAGING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL061048801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.