Northside Imaging Center – Diagnostic Radiology Physician, NPI 1063402279

Northside Imaging Center is a healthcare provider. based in St petersburg, Florida. specializing in Diagnostic Radiology Physician. The NPI Number for Northside Imaging Center is 1063402279

Main info

Organization
Name
Northside Imaging Center
NPI
1063402279
Phone
(727) 528-5900
Address
6006 49TH ST N
Authorized Official
MR. LAVELLE HARDIN CREDENTIALING COORDINATOR
Enumeration Date
27 October 2005
Last Update Date
28 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Northside Imaging Center

  • 49th Street North, Disston Heights, Saint Petersburg, Pinellas County, Florida, 33710, United States

    STE 140

    ST PETERSBURG, FL 337092148

    Phone: (727) 528-5900

    Fax: (727) 528-5911

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33709)

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Frequently asked questions

What number should I use to identify Northside Imaging Center for billing?
Administrative and clinical systems typically use NPI 1063402279 for Northside Imaging Center.
Quick check: is Northside Imaging Center active?
Public NPPES data shows Northside Imaging Center with an active NPI status right now.
What services align with Northside Imaging Center's listing?
Northside Imaging Center's public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Northside Imaging Center in St Petersburg, Florida?
For routing, start with St Petersburg, Florida for Northside Imaging Center, then verify phone and hours locally.
Can I export Northside Imaging Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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