Provider Demographics
NPI:1538329362
Name:AEI DIAGNOSTIC IMAGING LLC
Entity Type:Organization
Organization Name:AEI DIAGNOSTIC IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:407-719-1982
Mailing Address - Street 1:9522 GREENPOINT DRIVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626
Mailing Address - Country:US
Mailing Address - Phone:407-719-1982
Mailing Address - Fax:
Practice Address - Street 1:1831 N BELCHER ROAD
Practice Address - Street 2:D BUILDING
Practice Address - City:CLEARWATER
Practice Address - State:FLORIDA
Practice Address - Zip Code:33765
Practice Address - Country:UM
Practice Address - Phone:407-719-1982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology