MANATEE DIAGNOSTIC CENTER WEST – NPI #1972872604
Radiology

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

MANATEE DIAGNOSTIC CENTER WEST is a radiologist located in BRADENTON, FL. NPPES has assigned the NPI number 1972872604 to MANATEE DIAGNOSTIC CENTER WEST on December 27, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 MANATEE DIAGNOSTIC CENTER WEST below.

NPI Profile for
MANATEE DIAGNOSTIC CENTER WEST

NPI Number
1972872604
Enumeration Date

(more than 14 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
MANATEE DIAGNOSTIC CENTER WEST
Primary location
2211 60TH ST WEST
BRADENTON, FL 34209
Phone: (941) 747-3034 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - MANATEE DIAGNOSTIC CENTER WEST is subpart of another organization.
Authorized Official
DAVIS GRAHAM
EXECUTIVE DIRECTOR
Phone: (941) 747-3034
Updated
Identifiers

Identifiers for MANATEE DIAGNOSTIC CENTER WEST

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
MEDICAIDFL48245500
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)
FL ME6540

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.