TOWER DIAGNOSTIC CENTER OF BRANDON - NPI 1649276098

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

On this page

About Tower Diagnostic Center Of Brandon NPPES

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

TOWER DIAGNOSTIC CENTER OF BRANDON (NPI 1649276098) is a healthcare organization registered as a radiology in Brandon, Florida and active in the NPI registry since June 2005. The organization lists Lavelle Hardin, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1649276098

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameNORTH BRANDON IMAGING LLC

Location Address613 OAKFIELD DRBrandon, FL 33511-5714

Mailing Address613 Oakfield DrBrandon, FL 33511-5714 · (813) 661-2222 · Fax (813) 681-8494

Phone(813) 661-2222

Fax(813) 681-8494

Organization SubpartNo

Authorized OfficialLavelle HardinCredentialing Coordinator · (615) 344-8203

Enumeration DateJune 21, 2005

Last NPPES UpdateOctober 9, 2008

✔ NPI 1649276098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

Also ListedClinic/Center · Magnetic Resonance Imaging (MRI)Taxonomy 261QM1200X

Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X

613 OAKFIELD DR, Brandon, FL 33511

Open in Google Maps ↗

Other Names 1

Doing Business AsTower Diagnostic Center Of Brandon

Other Identifiers 4

Medicare PINU4843FL

OtherV3028FL · Bcbs Of Fl

OtherP00280433FL · Rr Medicare

Medicaid272079500FL

Other Providers at the Same Location NPPES 5

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

DR. MARK DOUGLAS NANNI MD

Radiology (Diagnostic Radiology)