Sugar Mill Diagnostic Imaging Llc

LBN: Sugar Mill Diagnostic Imaging Llc
Sugar Mill Diagnostic Imaging Llc is an health care organization with primary practice located at 8303 S Suncoast Blvd , Homosassa FL 34446-5028. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Sugar Mill Diagnostic Imaging Llc can be contacted via phone (352) 628-9900, or through Herron, Michael Keith via phone (352) 795-6909.

Contact Information

Primary practice address
8303 S Suncoast Blvd Homosassa FL 34446-5028
Fax: (352) 628-9700
Website:
Authorized official contact:
Name: Herron, Michael Keith Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N/A Florida
Ambulatory Health Care Facilities / Radiology 261QR0200X ME84779 Florida

Profile Details

NPI number 1235313057
LBN Legal business name Sugar Mill Diagnostic Imaging Llc
DBA Doing business as
Authorized official Herron, Michael Keith Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2007
Last updated Jul 31st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235313057 NPPES
Other V3279 BLUE CROSS BLUE SHIELD
MEDICAID 000097001 BLUE CROSS BLUE SHIELD
Other DN9284 BLUE CROSS BLUE SHIELD
Other V003E BLUE CROSS BLUE SHIELD
MEDICAID 000097000 BLUE CROSS BLUE SHIELD
MEDICAID 002077400 BLUE CROSS BLUE SHIELD
Other DN9284 BLUE CROSS BLUE SHIELD

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