Healthcare Provider Details

I. General information

NPI: 1962314096
Provider Name (Legal Business Name): LIFE IMAGING 3D4D ULTRASOUND STUDIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 MARINER BLVD
SPRING HILL FL
34609-5680
US

IV. Provider business mailing address

471 MARINER BLVD
SPRING HILL FL
34609-5680
US

V. Phone/Fax

Practice location:
  • Phone: 352-573-5141
  • Fax:
Mailing address:
  • Phone: 352-573-5141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH MCCREARY
Title or Position: OWNER
Credential: SONOGRAPHER
Phone: 352-573-5141