Provider Demographics
NPI:1558328963
Name:RADIOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES LLC
Other - Org Name:RADIOLOGY ASSOCIATES OF WEST PASCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD /OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-841-8225
Mailing Address - Street 1:PO BOX 17507
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-0507
Mailing Address - Country:US
Mailing Address - Phone:844-896-9068
Mailing Address - Fax:772-621-3184
Practice Address - Street 1:2115 LITTLE RD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655
Practice Address - Country:US
Practice Address - Phone:727-847-5122
Practice Address - Fax:727-843-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00603OtherMEDICARE
FL059510101Medicaid
FLCJ0133OtherRR MCR
FLV002JOtherFLORIDA BLUE (BCBS) - HUDSON/SR52 LOCATION
FLV2329OtherFLORIDA BLUE (BCBS) - MARINE PARKWAY LOCATION
FL059510100Medicaid
FL059510102Medicaid
FLV002HOtherFLORIDA BLUE (BCBS) - TRINITY LOCATION