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BAYCARE OUTPATIENT IMAGING LLC
NPI 1366067712
Radiology - Diagnostic Radiology in Tampa, FL

Active since June 11, 2020
711 S DALE MABRY HWY, TAMPA, FL 33609(813) 259-1900(813) 635-2613 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Apr 19, 2021, Jun 11, 2020 (3 updates tracked since 2020).

About Baycare Outpatient Imaging Llc NPPES

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

BAYCARE OUTPATIENT IMAGING LLC (NPI 1366067712) is a healthcare organization registered as a diagnostic radiology in Tampa, Florida and active in the NPI registry since June 2020. The organization lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1366067712
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBAYCARE OUTPATIENT IMAGING LLC
Location Address711 S DALE MABRY HWYTampa, FL 33609-4445
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 281-9065 · Fax (813) 635-2613
Phone(813) 259-1900
Fax(813) 635-2613
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateJune 11, 2020
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1366067712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
711 S DALE MABRY HWY, Tampa, FL 33609
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Other Identifiers 1

Medicaid101818501FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2189779

Baycare Outpatient Imaging LLC · Tampa, FL
Expired · Aug 4, 2026
CLIA Number10D2189779
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorRyan Telford
Laboratory Phone(813) 259-1900
Laboratory LocationBaycare Outpatient Imaging LLC711 S Dale Mabry Hwy - Ste 101, Tampa, FL 33609
CLIA data matches this NPI record on: Address 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 Baycare Outpatient Imaging LLC's NPI number?

The NPI number for Baycare Outpatient Imaging LLC is 1366067712. It was assigned to this organization in the NPPES registry on June 11, 2020.

Where is Baycare Outpatient Imaging LLC located?

Baycare Outpatient Imaging LLC is located at 711 S Dale Mabry Hwy, Tampa, FL 33609. The listed phone number is (813) 259-1900.

What is Baycare Outpatient Imaging LLC's specialty?

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

What insurance does Baycare Outpatient Imaging LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Baycare Outpatient Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baycare Outpatient Imaging LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.