ACTIVE DIAGNOSTIC IMAGING LLC – NPI #1700056009
Radiologic Technologist

A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.

ACTIVE DIAGNOSTIC IMAGING LLC is a radiologic technologist located in TAMPA, FL. NPPES has assigned the NPI number 1700056009 to ACTIVE DIAGNOSTIC IMAGING LLC on March 03, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2471S1302X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist, specializing in Sonography Radiologic Technologist

The NPI profile was previously updated about 18 years ago on Mar 04, 2008. 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 ACTIVE DIAGNOSTIC IMAGING LLC below.

NPI Profile for
ACTIVE DIAGNOSTIC IMAGING LLC

NPI Number
1700056009
Enumeration Date

(more than 18 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
ACTIVE DIAGNOSTIC IMAGING LLC
Primary location
3110 W GRAY ST
TAMPA, FL 33609-1516
Phone: (813) 348-0049 Fax:
Mailing address
PO BOX 320905
TAMPA, FL 33679-2905
Phone: (813) 348-0049 Fax:
Organization Subpart
No
Authorized Official
JESSICA VILLEGAS
PRESIDENT
Phone: (813) 348-0049
Updated
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
2471S1302X
- Radiologic Technologist / Sonography Radiologic Technologist (Primary)
FL L08000017078
2471V0105X
- Radiologic Technologist / Vascular Sonography Radiologic Technologist
FL L08000017078

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.