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General NPI Number Information
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NPI Number | 1750388591
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Entity Type | Organization
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Legal Business Name | ULTRA IMAGING OF TAMPA, LLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 36452 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1330
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Country | US
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Telephone | 727-771-2674
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Fax | 727-781-1634
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Provider Business Mailing Address
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Address Line | 36452 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-1330
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Country | US
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Telephone | 727-771-2674
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Fax | 727-781-6376
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. ROBERT SAMUEL HANKINS JR.
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Credential |
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Telephone | 615-344-2274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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