MEDICARE: WEST HERNANDO DIAGNOSTIC & MR CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932193711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST HERNANDO DIAGNOSTIC & MR CENTER

Provider Business Mailing Address
First Line	:	7615 JACQUE RD
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7132
Country	:	US
Telephone Number	:	727-697-0100
Fax Number	:	727-697-1240

Provider Business Practice Location Address
First Line	:	7615 JACQUE RD
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34667-7132
Country	:	US
Telephone Number	:	727-697-0100
Fax Number	:	727-697-1240

Authorized Official
Title or Position	:	CFO
Name	:	MS. KAREN HAYES JR.
Credential	:
Telephone Number	:	352-799-0046

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/23/2021

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Directions to “WEST HERNANDO DIAGNOSTIC & MR CENTER ” Practice Location

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