OrganizationActive
Active Diagnostic Imaging LLC
NPI 1700056009 · Sonography Radiologic Technologist · Tampa, FL
Provider details
- NPI number
- 1700056009
- Entity type
- Organization
- Primary specialty
- Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Jessica Villegas, President
- License
- L08000017078 (FL)
Mailing address
Po Box 320905
Tampa, FL 33679-2905
Registry dates
- Enumerated
- 2008-03-03
- Last updated
- 2008-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.