Provider Demographics
NPI:1386731180
Name:SPRING HILL IMAGING LLC
Entity type:Organization
Organization Name:SPRING HILL IMAGING LLC
Other - Org Name:<UNAVAIL>
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 1:12037 CORTEZ BLVD
Mailing Address - Street 2:12037 CORTEZ BLVD
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-7349
Mailing Address - Country:US
Mailing Address - Phone:352-597-9008
Mailing Address - Fax:352-597-1008
Practice Address - Street 1:12037 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613
Practice Address - Country:US
Practice Address - Phone:352-597-9008
Practice Address - Fax:352-597-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00273445OtherRR MEDICARE
FLV3024OtherBCBS OF FL
FL272083300Medicaid
FL272083300Medicaid