Provider Demographics
NPI:1871781088
Name:TOTAL IMAGING-PARSONS LLC
Entity type:Organization
Organization Name:TOTAL IMAGING-PARSONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:RUTHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-309-2190
Mailing Address - Street 1:427 S PARSONS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511
Mailing Address - Country:US
Mailing Address - Phone:813-215-2080
Mailing Address - Fax:813-215-2090
Practice Address - Street 1:427 S PARSONS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-215-2080
Practice Address - Fax:813-215-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN0473OtherRR MEDICARE
FLV3229OtherBCBS
FL280205800Medicaid
FL280205800Medicaid