Provider Demographics
NPI:1811173768
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 1:2716 UNIVERSITY SQUARE DR
Practice Address - Street 2:TOWER BREAST DIAGNOSTIC CENTER NORTHSIDE
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5513
Practice Address - Country:US
Practice Address - Phone:813-971-2050
Practice Address - Fax:813-972-4888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWER IMAGING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-10
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085P0229X
FLHCC4925261QR0200X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043166405Medicaid
FL00169Medicare PIN