Healthcare Provider Details

I. General information

NPI: 1629218573
Provider Name (Legal Business Name): TOWER IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2009
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17503 DALE MABRY HWY N TOWER RADIOLOGY CENTER - N DALE MABRY
LUTZ FL
33548-4521
US

IV. Provider business mailing address

8800 GRAND OAK CIR STE 400
TAMPA FL
33637-2006
US

V. Phone/Fax

Practice location:
  • Phone: 813-968-4540
  • Fax: 813-968-4502
Mailing address:
  • Phone: 813-253-2721
  • Fax: 813-254-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC7359
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERRI LEWMAN
Title or Position: SVP ENTERPRISE IMAGING
Credential: MHA
Phone: 813-261-2400