Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active Diagnostic Imaging LLC

Organization Sonography Radiologic Technologist · NPI 1700056009

Active Diagnostic Imaging LLC is a Sonography Radiologic Technologist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3110 W Gray St
Tampa, FL 33609-1516
Phone: (813) 348-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sonography Radiologic Technologist (primary) Taxonomy 2471S1302X · Licence L08000017078 (FL)
Vascular Sonography Radiologic Technologist Taxonomy 2471V0105X · Licence L08000017078 (FL)

Record details

NPI number1700056009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Villegas — President · (813) 348-0049
NPI enumeratedMarch 3, 2008
Last updated in NPPESMarch 4, 2008
Mailing addressPo Box 320905, Tampa, FL 33679-2905

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