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BAYCARE OUTPATIENT IMAGING LLC
NPI 1376238642
Radiology - Diagnostic Radiology in Plant City, FL

Active since April 11, 2023CLIA 10D2294665 · Waiver
3198 N. PARK ROAD, SUITE 102, PLANT CITY, FL 33563(813) 757-1204(813) 757-1212 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2024, Apr 11, 2023 (2 updates tracked since 2023).

About Baycare Outpatient Imaging Llc NPPES

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

BAYCARE OUTPATIENT IMAGING LLC (NPI 1376238642) is a healthcare organization registered as a diagnostic radiology in Plant City, Florida and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376238642
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBAYCARE OUTPATIENT IMAGING LLC
Location Address3198 N. PARK ROAD, SUITE 102Plant City, FL 33563
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-6974 · Fax (813) 635-2613
Phone(813) 757-1204
Fax(813) 757-1212
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1376238642 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.
3198 N. PARK ROAD, Plant City, FL 33563
Open in Google Maps ↗

Other Identifiers 1

Medicaid101818505FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 10D2294665

Baycare Outpatient Imaging, LLC · Plant City, FL
Active · expires Nov 28, 2027
CLIA Number10D2294665
Laboratory TypeOp Imaging Center
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorRyan Telford
Laboratory Phone(813) 757-1229
Laboratory LocationBaycare Outpatient Imaging, LLC3198 N Park Rd - Ste 102, Plant City, FL 33563
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYCARE OUTPATIENT IMAGING LLC
Radiology (Diagnostic Radiology)
3198 N. PARK ROAD, SUITE 102
PLANT CITY, FL 33563
Hillsborough County (813) 757-1204

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 1376238642. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Baycare Outpatient Imaging LLC located?

Baycare Outpatient Imaging LLC is located at 3198 N. Park Road Suite 102, Plant City, FL 33563. The listed phone number is (813) 757-1204.

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.

Does Baycare Outpatient Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2294665) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baycare Outpatient Imaging LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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.