Provider Demographics
NPI:1891915583
Name:CLEARVIEW IMAGING LLC
Entity Type:Organization
Organization Name:CLEARVIEW IMAGING LLC
Other - Org Name:CLEARVIEW OPEN MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-932-8868
Mailing Address - Street 1:3707 W HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4067
Mailing Address - Country:US
Mailing Address - Phone:813-932-8868
Mailing Address - Fax:813-932-2826
Practice Address - Street 1:3707 W HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4067
Practice Address - Country:US
Practice Address - Phone:813-932-8868
Practice Address - Fax:813-932-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLJR37544002471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46612OtherBLUE CROSS BLUE SHIELD
FL260707700Medicaid
FL260707700Medicaid