South Brandon Imaging LLC
South Brandon Imaging LLC is a healthcare organization registered as Radiology Clinic/Center in Brandon, FL, holding Type 2 (organization) NPI 1124028824 since 2005. The authorized official on file is Lavelle Hardin, Credentialing Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124028824 |
|---|---|
| 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 | 2005-07-26 |
| Last updated in NPPES | 2008-03-18 |
Authorized official
| Name | Lavelle Hardin |
|---|---|
| Title | Credentialing Coordinator |
| Phone | 6153448203 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | Secondary | — | — |
| 261QR0206X | Mammography Clinic/Center | Secondary | — | — |
| 261QR0200X | Radiology Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00273457 | Other | FL | RR MEDICARE |
Copy-ready billing details
Provider: South Brandon Imaging LLC NPI: 1124028824 Taxonomy: 261QR0200X (Radiology Clinic/Center) Address: 737 W BRANDON BLVD, Brandon, FL, 33511
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114002094 | South Brandon Imaging LLC | Organization | Diagnostic Radiology Physician | Brandon, FL |
Verify this record
Cross-check NPI 1124028824 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
Where is South Brandon Imaging LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-18.