South Brandon Imaging LLC
South Brandon Imaging LLC is a healthcare organization registered as Diagnostic Radiology Physician in Brandon, FL, holding Type 2 (organization) NPI 1114002094 since 2006. The authorized official on file is Lavelle Hardin, Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114002094 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | South Brandon Imaging LLC |
| Other name | <Unavail> |
| Practice address | 737 W BRANDON BLVD, Brandon, FL, 33511 |
| Phone | 8136577575 |
| Fax | 8136843040 |
| Enumeration date | 2006-10-26 |
| Last updated in NPPES | 2008-03-18 |
Authorized official
| Name | Lavelle Hardin |
|---|---|
| Title | Enrollment |
| Phone | 6153448203 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00273457 | Other | FL | RR MEDICARE |
Copy-ready billing details
Provider: South Brandon Imaging LLC NPI: 1114002094 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 737 W BRANDON BLVD, Brandon, FL, 33511
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124028824 | South Brandon Imaging LLC | Organization | Radiology Clinic/Center | Brandon, FL |
Verify this record
Cross-check NPI 1114002094 against the authoritative CMS record: view South Brandon Imaging LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is South Brandon Imaging LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-18.