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Northside Imaging LLC

Diagnostic Radiology Physician in St Petersburg, FL · enumerated 2005 · authorized official Lavelle Hardin, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063402279

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Registry record

Entity type Organization (Type 2)
Legal business name Northside Imaging LLC
Other name <Unavail>
Practice address 6006 49th St N, Ste 140, St Petersburg, FL, 33709
Fax (727) 528-5911
Enumeration date Oct 27, 2005
Last updated in NPPES Aug 28, 2007

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Lavelle Hardin
Title Credentialing Coordinator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Northside Imaging LLC?
NPPES lists Lavelle Hardin (Credentialing Coordinator) as the authorized official for this organization.
What is the NPI number for Northside Imaging LLC?
The NPI for Northside Imaging LLC is 1063402279, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-28.