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NPI Code Detail

MEDICARE: GENESIS BREAST SCREENING PA

MEDICARE: GENESIS BREAST SCREENING PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1114855673
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS BREAST SCREENING PA
Provider Business Mailing Address
First Line : 3217 S MACDILL AVE STE A
Second Line :
City : TAMPA
State : FL
Zip : 33629-1719
Country : US
Telephone Number : 813-565-1129
Fax Number :
Provider Business Practice Location Address
First Line : 3217 S MACDILL AVE STE A
Second Line :
City : TAMPA
State : FL
Zip : 33629-1719
Country : US
Telephone Number : 813-565-1129
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES OKOH
Credential : MD
Telephone Number : 813-777-1609
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “GENESIS BREAST SCREENING PA ” Practice Location

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