| Organization Name: | PINELLAS IMAGING CONSULTANTS, PA |
| NPI Number: | 1841611175 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLIS B. NORSOPH (PRESIDENT/CEO) |
| Mailing Address: | 701 6th St S St Petersburg |
| State: | FL US |
| Postal Code: | 337014814 |
| Phone Number: | 7278231234 |
| Fax Number: | 8139858006 |
| NPI Enumeration Date: | 01/06/2014 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |