MID-FLORIDA IMAGING SERVICES LLC


Address: 24103 Harbeck Lane, Sorrento, FL 32776-8112
Phone: (407) 788-0455

MID-FLORIDA IMAGING SERVICES LLC (NPI# 1396841805) 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) 1396841805
Entity Type Organization
Organization Name MID-FLORIDA IMAGING SERVICES LLC
Other Organization Name WESTON DIAGNOSTICS LLC
Practice Address 24103 Harbeck Lane
Sorrento
FL 32776-8112
Practice Telephone (407) 788-0455
Practice Fax Number 4073890931
Mailing Telephone 4077880455
Mailing Fax Number 4073890931
Enumeration Date 2006-09-15
Last Update Date 2017-06-09
Authorized Official Name MR. CHAD WESTON HALL (PRESIDENT)
Authorized Official Telephone 4077880455
Authorized Official Credential RDMS,RVT,RDCS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
54687 FL Ambulatory Health Care Facilities
N 293D00000X Physiological Laboratory 54687 FL Laboratories
Y 261QR0208X Clinic/Center
Specialization: Radiology, Mobile
54687 FL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Weston Diagnostics LLC Doing Business As Name - Organization

Office Location

Street Address 24103 HARBECK LANE
City SORRENTO
State FL
Zip Code 32776-8112

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Taxonomy Information

Taxonomy Code 261QR0208X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mobile

Taxonomy Definition

Definition to come...

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Competitor

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City SORRENTO
Zip Code 32776

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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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