Provider Demographics
NPI:1215990973
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 1:4719 N HABANA AVE
Practice Address - Street 2:TOWER BREAST DIAGNOSTIC CENTER HABANA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7105
Practice Address - Country:US
Practice Address - Phone:813-875-3787
Practice Address - Fax:813-872-0378
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWER IMAGING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-11
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085R0202X, 2085U0001X
FLHCC1652261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043164410Medicaid
FL00169Medicare PIN