OrganizationUltra Imaging Of Tampa Llc(Dba Ultra Imaging Of St. Petersburg)RadiologyAllopathic & Osteopathic PhysiciansPractice Address6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655(727) 381-1674PECOS EnrollmentBased on the most recent information from CMS, provider Ultra Imaging Of Tampa Llc 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 ID1194716126Provider TypeOrganizationFull NameUltra Imaging Of Tampa LlcOther NameDba Ultra Imaging Of St. PetersburgSubpartNoEnumeration Date10/31/2005Last Updated8/2/2007Contact InformationPractice LocationPractice Address6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655Phone(727) 381-1674Fax(727) 381-4226Mailing LocationMailing Address6449 38th Ave N, Suite B-3, St Petersburg, FL 33710-1655Phone(727) 381-1674Fax(727) 381-4226Authorized OfficialNameHardin, Lavelle (Credentialing Coordinator)Phone(615) 344-8203Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer