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MANATEE DIAGNOSTIC CENTER WEST
NPI 1972872604
Radiology - Diagnostic Radiology in Bradenton, FL

Active since December 27, 2011
2211 60TH ST WEST, BRADENTON, FL 34209(941) 747-3034 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Manatee Diagnostic Center West NPPES

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

MANATEE DIAGNOSTIC CENTER WEST (NPI 1972872604) is a healthcare organization registered as a diagnostic radiology in Bradenton, Florida and active in the NPI registry since December 2011. The organization lists Davis W Graham, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972872604
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMANATEE DIAGNOSTIC CENTER WEST
Location Address2211 60TH ST WESTBradenton, FL 34209
Mailing Address2211 60th St WestBradenton, FL 34209 · (941) 747-3034 · Fax (941) 748-5819
Phone(941) 747-3034
Organization SubpartYesParent: Manatee Diagnostic Center
Authorized OfficialDavis W GrahamExecutive Director · (941) 747-3034
Enumeration DateDecember 27, 2011
✔ NPI 1972872604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME6540
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2211 60TH ST WEST, Bradenton, FL 34209
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Other Identifiers 2

Medicare UPIND62394FL
Medicaid48245500FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2009165

Manatee Diagnostic Center · Bradenton, FL
Expired · Jun 27, 2026
CLIA Number10D2009165
Laboratory TypeIndependent Diagnostic T
Certificate Effective DateJune 28, 2024
Certificate Expiration DateJune 27, 2026
Laboratory DirectorDr. Bret Henricks
Laboratory Phone(941) 747-3034
Laboratory LocationManatee Diagnostic Center300 Riverside Dr E - Ste 1400, Bradenton, FL 34208
CLIA data matches this NPI record on: 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 Manatee Diagnostic Center West's NPI number?

The NPI number for Manatee Diagnostic Center West is 1972872604. It was assigned to this organization in the NPPES registry on December 27, 2011.

Where is Manatee Diagnostic Center West located?

Manatee Diagnostic Center West is located at 2211 60th St West, Bradenton, FL 34209. The listed phone number is (941) 747-3034.

What is Manatee Diagnostic Center West's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Manatee Diagnostic Center West was last updated on December 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.