BAYCARE OUTPATIENT IMAGING
NPI 1780970137
Radiology - Diagnostic Radiology in Lutz, FL

Active since June 23, 2011CLIA 10D2002152 · Waiver
4091 VAN DYKE RD, LUTZ, FL 33558(813) 265-6300 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1780970137
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST JOSEPH'S DIAGNOSTIC CENTER LLC
Location Address4091 VAN DYKE RDLutz, FL 33558-8007
Mailing Address2995 Drew Street, East Bldg 2nd FloorClearwater, FL 33759 · (727) 281-9390 · Fax (813) 635-2613
Organization SubpartNo
Authorized OfficialTamblyn CuberoManager · (727) 281-9390
Enumeration DateJune 23, 2011
Last NPPES UpdateJanuary 17, 2019
NPI 1780970137 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.
4091 VAN DYKE RD, Lutz, FL 33558

Other Names 1

Doing Business AsBaycare Outpatient Imaging

Other Identifiers 1

Medicaid061048800FL

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

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, FL
Active · expires Jan 7, 2028
CLIA Number10D2002152
Laboratory TypeDiagnostic Center
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorDr. Dmitry Baschinsky
Laboratory Phone(800) 324-7853
Laboratory LocationBaycare Outpatient Imaging Van Dyke4091 Van Dyke Rd, Lutz, FL 33558
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.

Radiology (Diagnostic Radiology)
4091 VAN DYKE RD
LUTZ, FL 33558

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 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.

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, 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.