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MANATEE DIAGNOSTIC CENTER,LTD
NPI 1235406646
Radiology - Diagnostic Radiology in Bradenton, FL

Active since November 30, 2011CLIA Certified · 3 labs
2301 60TH STREET COURT WEST, SUITE C, BRADENTON, FL 34209(941) 747-3034(941) 748-5819 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manatee Diagnostic Center,ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANATEE DIAGNOSTIC CENTER,LTD (NPI 1235406646) is a healthcare organization registered as a diagnostic radiology in Bradenton, Florida and active in the NPI registry since November 2011. The organization holds 3 active CLIA laboratory certificates and lists David W Graham, Exective Director/cfo, as its authorized official.

NPPES Registry Identity

NPI1235406646
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMANATEE DIAGNOSTIC CENTER,LTD
Location Address2301 60TH STREET COURT WEST, SUITE CBradenton, FL 34209
Mailing Address2301 60th Street Court West, Suite CBradenton, FL 34208 · (941) 747-3034 · Fax (941) 748-5819
Phone(941) 747-3034
Fax(941) 748-5819
Organization SubpartYesParent: Manatee Diagnostic Center
Authorized OfficialDavid W GrahamExective Director/cfo · (941) 747-3034
Enumeration DateNovember 30, 2011
Last NPPES UpdateJanuary 12, 2016
✔ NPI 1235406646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME6540
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2301 60TH STREET COURT WEST, Bradenton, FL 34209
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Other Identifiers 2

Medicare UPIND62394FL
Medicaid48245500FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2026521

Manatee Diagnostic Center Pointe West · Bradenton, FL
Active · expires Jun 30, 2027
CLIA Number10D2026521
Laboratory TypeIndependent Diagnostic
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorKirchner Thomas
Laboratory Phone(941) 747-3034
Laboratory LocationManatee Diagnostic Center Pointe West2301 60th St Ct W Ste C, Bradenton, FL 34209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2009165

Manatee Diagnostic Center · Bradenton, FL
Active · expires Jun 27, 2028
CLIA Number10D2009165
Laboratory TypeIndependent Diagnostic T
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorDr. Thomas Kirchner
Laboratory Phone(941) 747-3034
Laboratory LocationManatee Diagnostic Center300 Riverside Dr E - Ste 1400, Bradenton, FL 34208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2305068

Manatee Diagnostic Center · Bradenton, FL
Active · expires May 22, 2028
CLIA Number10D2305068
Laboratory TypeInd Diagnostic Test Fac
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorThomas Kirchner
Laboratory Phone(941) 747-3034
Laboratory LocationManatee Diagnostic Center250 2nd St East Suite 1B, Bradenton, FL 34208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manatee Diagnostic Center,ltd's NPI number?

The NPI number for Manatee Diagnostic Center,ltd is 1235406646. It was assigned to this organization in the NPPES registry on November 30, 2011.

Where is Manatee Diagnostic Center,ltd located?

Manatee Diagnostic Center,ltd is located at 2301 60th Street Court West Suite C, Bradenton, FL 34209. The listed phone number is (941) 747-3034.

What is Manatee Diagnostic Center,ltd's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Manatee Diagnostic Center,ltd hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Manatee Diagnostic Center,ltd was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.