BAYCARE OUTPATIENT IMAGING
NPI 1780970137
Radiology - Diagnostic Radiology in Lutz, FL
About Baycare Outpatient Imaging NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAYCARE OUTPATIENT IMAGING (NPI 1780970137) is a healthcare organization registered as a diagnostic radiology in Lutz, Florida and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Tamblyn Cubero, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Baycare Outpatient Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
123Medicare enrollment records show 123 clinicians reassign Medicare billing to Baycare Outpatient Imaging, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 123Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D2002152
Baycare Outpatient Imaging Van Dyke · Lutz, FLFrequently 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 St Joseph's Diagnostic Center LLC's NPI number?
The NPI number for St Joseph's Diagnostic Center LLC is 1780970137. It was assigned to this organization in the NPPES registry on June 23, 2011. The provider is doing business as Baycare Outpatient Imaging.
Where is St Joseph's Diagnostic Center LLC located?
St Joseph's Diagnostic Center LLC is located at 4091 Van Dyke Rd, Lutz, FL 33558. The listed phone number is (813) 265-6300.
What is St Joseph's Diagnostic Center LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is St Joseph's Diagnostic Center LLC enrolled in Medicare?
Yes. St Joseph's Diagnostic Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Joseph's Diagnostic Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 5 Medicare specialties reassign their Medicare billing to St Joseph's Diagnostic Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (108), Interventional Radiology (10) and Cardiovascular Disease (Cardiology) (2). Of these, 19 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Joseph's Diagnostic Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2002152) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Joseph's Diagnostic Center LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare list St Joseph's Diagnostic Center 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 St Joseph's Diagnostic Center LLC was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Baycare Outpatient Imaging · NPI 1780970137
Diagnostic Radiology organization in Lutz, Florida. Organization record, active in the CMS NPPES registry since June 23, 2011.
## Identity
- **NPI:** 1780970137 (Entity type: Organization)
- **Enumerated:** June 23, 2011
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** St Joseph's Diagnostic Center Llc
- **Organization subpart:** No
- **Authorized official:** Tamblyn Cubero, MANAGER
## Practice location
- **Address:** 4091 VAN DYKE RD, Lutz, FL 33558-8007
- **Phone:** (813) 265-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 123 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (108), Interventional Radiology (10), Cardiovascular Disease (Cardiology) (2); 19 practice within 10 miles; [full list](https://npiprofile.com/npi/1780970137/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2019
- **Other identifiers:** Medicaid 061048800 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780970137) · Data from the CMS NPPES public registry.