Healthcare Provider Details

I. General information

NPI: 1306352018
Provider Name (Legal Business Name): TOWER IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2017
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3870 TAMPA RD
OLDSMAR FL
34677-3133
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 813-874-3177
  • Fax: 813-814-1615
Mailing address:
  • Phone: 813-253-2721
  • Fax: 813-254-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State
# 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