Provider Demographics
NPI:1881703155
Name:SKY IMAGING LLC
Entity type:Organization
Organization Name:SKY IMAGING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT ACCOUNTS
Authorized Official - Prefix:MS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-577-5836
Mailing Address - Street 1:4807 US HIGHWAY 19
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4263
Mailing Address - Country:US
Mailing Address - Phone:727-848-2727
Mailing Address - Fax:727-264-4000
Practice Address - Street 1:4807 US HIGHWAY 19
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4263
Practice Address - Country:US
Practice Address - Phone:727-848-2727
Practice Address - Fax:727-264-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6345261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5048Medicare ID - Type Unspecified