Provider Demographics
NPI:1265755672
Name:RADIOLOGY ASSOCIATES OF PINELLAS, LLC.
Entity type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF PINELLAS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MAANGER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-388-5884
Mailing Address - Street 1:PO BOX 834
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-0834
Mailing Address - Country:US
Mailing Address - Phone:727-388-5884
Mailing Address - Fax:866-687-2563
Practice Address - Street 1:6705 38TH AVE N
Practice Address - Street 2:SUITE 1
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1536
Practice Address - Country:US
Practice Address - Phone:727-388-5884
Practice Address - Fax:866-687-2563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)