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1104198258 NPI number — BOWES IMAGING CENTER, LLC

NPI Number: 1104198258
Health Care Provider/Practitioner: BOWES IMAGING CENTER, LLC

Information about “1104198258” NPI (BOWES IMAGING CENTER, LLC) exists in 1104198258 in HTML format HTML  |  1104198258 in plain Text format TXT  |  1104198258 in PDF (Portable Document Format) PDF  |  1104198258 in an XML format XML  formats.

NPI Number : 1104198258 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104198258",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BOWES IMAGING CENTER, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3900 CLARK RD",
    "SecondLineMailingAddress": "SUITE P",
    "MailingAddressCityName": "SARASOTA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34233-2301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "941-924-4860",
    "MailingAddressFaxNumber": "941-924-2300",
    "FirstLinePracticeLocationAddress": "3900 CLARK RD",
    "SecondLinePracticeLocationAddress": "SUITE P",
    "PracticeLocationAddressCityName": "SARASOTA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34233-2301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "941-924-8600",
    "PracticeLocationAddressFaxNumber": "941-924-2300",
    "EnumerationDate": "02/06/2012",
    "LastUpdateDate": "04/11/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOWES",
    "AuthorizedOfficialFirstName": "NATHAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT & CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "941-924-8600",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "HCC 9548",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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