OrganizationBon-Bone Medical Imaging, Inc.RadiologyAllopathic & Osteopathic PhysiciansPractice Address6499 38th Ave N, Suite G2, St Petersburg, FL 33710-1656(727) 341-2866(800) 664-2663PECOS EnrollmentBased on the most recent information from CMS, provider Bon-Bone Medical Imaging, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1013950401Provider TypeOrganizationFull NameBon-Bone Medical Imaging, Inc.SubpartNoEnumeration Date6/13/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address6499 38th Ave N, Suite G2, St Petersburg, FL 33710-1656Phone(727) 341-2866Fax(727) 341-2876Mailing LocationMailing Address7040 Seminole Pratt Whitney Rd, Ste. 25-166, Loxahatchee, FL 33470-2468Phone(800) 664-2663Fax(561) 792-5199Authorized OfficialNameHardy, Karen (Billing Manager)Phone(561) 753-8557Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID579259DescriptionOtherIssuerAETNAFloridaID102686DescriptionOtherIssuerAVMEDDistrict of ColumbiaID137014DescriptionOtherIssuerPREFERRED CAREFloridaID2243437DescriptionOtherIssuerAETNAFloridaID2243421DescriptionOtherIssuerAETNAFloridaID2592718DescriptionOtherIssuerGHIDistrict of ColumbiaIDV1836DescriptionOtherIssuerBC/BSFloridaIDV1267DescriptionOtherIssuerBC/BSFloridaID7723768DescriptionOtherIssuerAETNAFloridaIDV1173DescriptionOtherIssuerBC/BSFloridaIDV1761DescriptionOtherIssuerBC/BSFloridaID2243431DescriptionOtherIssuerAETNAFlorida