OrganizationBon-Bone Medical Imaging, Inc.RadiologyAllopathic & Osteopathic PhysiciansPractice Address6499 38th Ave N, Suite G2, St Petersburg, FL 33710-1656(727) 341-2866(800) 664-2663PECOS EnrollmentBased on the most recent information from CMS, provider Bon-Bone Medical Imaging, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1013950401Provider TypeOrganizationFull NameBon-Bone Medical Imaging, Inc.SubpartNoEnumeration Date6/13/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address6499 38th Ave N, Suite G2, St Petersburg, FL 33710-1656Phone(727) 341-2866Fax(727) 341-2876Mailing LocationMailing Address7040 Seminole Pratt Whitney Rd, Ste. 25-166, Loxahatchee, FL 33470-2468Phone(800) 664-2663Fax(561) 792-5199Authorized OfficialNameHardy, Karen (Billing Manager)Phone(561) 753-8557Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID579259DescriptionOtherIssuerAETNAFloridaID102686DescriptionOtherIssuerAVMEDDistrict of ColumbiaID137014DescriptionOtherIssuerPREFERRED CAREFloridaID2243437DescriptionOtherIssuerAETNAFloridaID2243421DescriptionOtherIssuerAETNAFloridaID2592718DescriptionOtherIssuerGHIDistrict of ColumbiaIDV1836DescriptionOtherIssuerBC/BSFloridaIDV1267DescriptionOtherIssuerBC/BSFloridaID7723768DescriptionOtherIssuerAETNAFloridaIDV1173DescriptionOtherIssuerBC/BSFloridaIDV1761DescriptionOtherIssuerBC/BSFloridaID2243431DescriptionOtherIssuerAETNAFlorida