Provider Demographics
NPI:1700829561
Name:BABAT, KATZ, AND SAMUELSON MDS PA
Entity Type:Organization
Organization Name:BABAT, KATZ, AND SAMUELSON MDS PA
Other - Org Name:PINELLAS RADIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECTY.
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-381-0275
Mailing Address - Street 1:2150 49TH ST N
Mailing Address - Street 2:SUITE F
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-5237
Mailing Address - Country:US
Mailing Address - Phone:727-381-0275
Mailing Address - Fax:727-345-8025
Practice Address - Street 1:6449 38TH AVE N
Practice Address - Street 2:SUITE C4
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1655
Practice Address - Country:US
Practice Address - Phone:727-381-0275
Practice Address - Fax:727-345-8025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053536200Medicaid
FL99002Medicare ID - Type Unspecified