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NEW VISTA DIAGNOSTIC OF FOUNTAIN OAKS
NPI 1609422146
Clinic/Center - Radiology in Tampa, FL

Active since August 12, 2019CLIA 10D2212190 · Waiver
3635 W WATERS AVE, TAMPA, FL 33614(813) 408-9161 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2020, Aug 12, 2019 (2 updates tracked since 2019).

About New Vista Diagnostic Of Fountain Oaks NPPES

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

NEW VISTA DIAGNOSTIC OF FOUNTAIN OAKS (NPI 1609422146) is a healthcare organization registered as a radiology in Tampa, Florida and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Lessy Rodriguez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609422146
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameDIS OF TAMPA BAY INC
Location Address3635 W WATERS AVETampa, FL 33614-2783
Mailing Address3635 W Waters AveTampa, FL 33614-2783 · (813) 724-3310 · Fax (813) 280-4923
Phone(813) 408-9161
Organization SubpartNo
Authorized OfficialLessy RodriguezAdministrator · (813) 724-3310
Enumeration DateAugust 12, 2019
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1609422146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
3635 W WATERS AVE, Tampa, FL 33614
Open in Google Maps ↗

Other Names 1

Doing Business AsNew Vista Diagnostic Of Fountain Oaks

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 10D2212190

Dis Of Tampa Bay Inc Dba New Vista Diagnostic Of Fountain Oaks · Tampa, FL
Active · expires Feb 2, 2027
CLIA Number10D2212190
Laboratory TypeDiagnostic Imaging
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorDarren M. Buono
Laboratory Phone(813) 724-3310
Laboratory LocationDis Of Tampa Bay Inc Dba New Vista Diagnostic Of Fountain Oaks3635 W Waters Ave, Tampa, FL 33614
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 Dis Of Tampa Bay Inc's NPI number?

The NPI number for Dis Of Tampa Bay Inc is 1609422146. It was assigned to this organization in the NPPES registry on August 12, 2019. The provider is doing business as New Vista Diagnostic Of Fountain Oaks.

Where is Dis Of Tampa Bay Inc located?

Dis Of Tampa Bay Inc is located at 3635 W Waters Ave, Tampa, FL 33614. The listed phone number is (813) 408-9161.

What is Dis Of Tampa Bay Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Dis Of Tampa Bay Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2212190) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dis Of Tampa Bay Inc was last updated on January 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.