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

Northside Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1063402279

Northside Imaging LLC is a Diagnostic Radiology Physician in St Petersburg, Florida. Registered with an NPI since 2005.

In the registry since
2005
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

6006 49th St N Ste 140
St Petersburg, FL 33709-2148
Phone: (727) 528-5900
Fax: (727) 528-5911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1063402279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lavelle Hardin — Credentialing Coordinator · (615) 344-8203
Other names Northside Imaging Center
NPI enumeratedOctober 27, 2005
Last updated in NPPESAugust 28, 2007
Mailing address6006 49th St N, Ste 140, St Petersburg, FL 33709-2148

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