Provider Demographics
NPI:1770744641
Name:TOWER IMAGING LLC
Entity type:Organization
Organization Name:TOWER IMAGING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP ENTERPRISE IMAGING
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:813-261-2400
Mailing Address - Street 1:8800 GRAND OAK CIR STE 400
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33637-2006
Mailing Address - Country:US
Mailing Address - Phone:813-253-2721
Mailing Address - Fax:813-254-4597
Practice Address - Street 1:3350 BELL SHOALS RD
Practice Address - Street 2:BLOOMINGDALE RADIOLOGY CENTER
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7637
Practice Address - Country:US
Practice Address - Phone:813-654-4883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWER IMAGING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-23
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085N0904X, 2085P0229X, 2085R0202X
FLHCC7028261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Multi-Specialty
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043166408Medicaid
FL043166408Medicaid