CLERMONT RADIOLOGY LLC


Address: 18 Ne 1st Ave, Ocala, FL 34470-6658
Phone: 3522416100

CLERMONT RADIOLOGY LLC (NPI# 1235770686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235770686
Entity Type Organization
Organization Name CLERMONT RADIOLOGY LLC
Practice Address 18 Ne 1st Ave
Ocala
FL 34470-6658
Mailing Address Po Box 593869
Orlando
FL 32859-3869
Practice Telephone 3522416100
Practice Fax Number 3522416101
Mailing Telephone 3522416100
Mailing Fax Number 3522416101
Enumeration Date 2019-10-07
Last Update Date 2019-10-07
Authorized Official Name MR. CARMEN RESTIVO (CREDENTIALING/COMPLIANCE MANAGER)
Authorized Official Telephone 3522416100
Is Organization Subpart Y
Parent Organization Name CLERMONT RADIOLOGY, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Clermont Radiology - Ocala Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003328642 Clermont Radiology LLC Clinic/Center 3725 South Highway 27, Suite 104, Clermont, FL 34711 2017-11-03
1033426622 Clermont Radiology LLC Clinic/Center 871 Oakley Seaver Drive, Clermont, FL 34711 2010-09-03
1982619417 Clermont Radiology LLC Physiological Laboratory 1804 Oakley Seaver Blvd, Suite B, Clermont, FL 34711-1925 2006-07-31

Office Location

Street Address 18 NE 1ST AVE
City OCALA
State FL
Zip Code 34470-6658

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1548217185 Diagnostic Outpatient Centers of Ocala Inc Clinic/Center 1030 Se 17th St, Ocala, FL 34471-3912 2006-05-28
1669469045 Medical Imaging Center of Ocala Clinic/Center 1490 Se Magnolia Ext, Ocala, FL 34471-4443 2005-09-30
1295730232 Xray and Imaging Center Clinic/Center 2621 Se Lake Weir Ave, Ocala, FL 34471-6720 2005-06-16
1629443551 Radiology Partners, LLC Clinic/Center 1714 Sw 17th St, Ocala, FL 34471-1223 2015-12-03

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Competitor

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City OCALA
Zip Code 34470

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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