Provider Demographics
NPI:1386845733
Name:MIDTOWN DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:MIDTOWN DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-344-8203
Mailing Address - Street 1:1215 S EAST AVE SOUTH
Mailing Address - Street 2:STE 207
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2342
Mailing Address - Country:US
Mailing Address - Phone:941-365-5613
Mailing Address - Fax:941-957-1387
Practice Address - Street 1:1215 S EAST AVE SOUTH
Practice Address - Street 2:STE 207
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2342
Practice Address - Country:US
Practice Address - Phone:941-365-5613
Practice Address - Fax:941-957-1387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty