1871781088 NPI number — TOTAL IMAGING-PARSONS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871781088 NPI number — TOTAL IMAGING-PARSONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOTAL IMAGING-PARSONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871781088
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
427 S PARSONS AVE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
BRANDON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-215-2080
Provider Business Mailing Address Fax Number:
813-215-2090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
427 S PARSONS AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BRANDON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-215-2080
Provider Business Practice Location Address Fax Number:
813-215-2090
Provider Enumeration Date:
10/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RUTHERFORD
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
SENIOR VP
Authorized Official Telephone Number:
615-309-2190

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DN0473 . This is a "RR MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: V3229 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 280205800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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