FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC (NPI# 1740256494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740256494 |
| Entity Type | Organization |
| Organization Name | FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC |
| Other Organization Name | ADVENTHEALTH IMAGING |
| Practice Address |
775 Primera Blvd Ste 1031 Lake Mary FL 32746 |
| Mailing Address |
900 Winderley Pl Ste 2100 Maitland FL 32751-4191 |
| Practice Telephone | 4073339766 |
| Practice Fax Number | 4073339782 |
| Mailing Telephone | 4072002355 |
| Mailing Fax Number | 4077670608 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | MICHAEL E MAZERES (VICE PRESIDENT) |
| Authorized Official Telephone | 4072002227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265644200 | 05 | |
| RR MEDIARE - GROUP NUMBER | CK2813 | 01 | |
| FL | BCBS LK MARY | V2517 | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth Imaging | Doing Business As Name - Organization |
| AdventHealth Imaging Lake Mary LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2488 E Irlo Bronson Hwy, Kissimmee, FL 34744 | 4072001609 | |
| 2488 E Irlo Bronson Memorial Hwy, Kissimmee, FL 347444948 | 4072005440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744925 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 1480 W Orange Blossom Trl, Apopka, FL 32712-2637 | 2020-03-11 |
| 1437615770 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 616 E Altamonte Dr Ste 130, Altamonte Springs, FL 32701-4810 | 2019-02-12 |
| 1003208620 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 9975 Tavistock Lakes Blvd, Suite 120, Orlando, FL 32827-7559 | 2015-02-19 |
| Street Address |
775 PRIMERA BLVD STE 1031 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043202 | Jupiter Imaging Associates, Inc | Radiology | 725 Rantoul Ln, Lake Mary, FL 32746-4249 | 2017-06-20 |
| 1639403066 | Vesta Solutions Group, LLC | Radiology | 2950 Lake Emma Rd Ste 2020, Lake Mary, FL 32746-3702 | 2009-10-02 |
| 1053346999 | Sheri Schweitzer | Radiology | 1343 South International Parkway, Suite 1351, Lake Mary, FL 32746 | 2006-07-11 |
| 1992750848 | Navix Imaging Inc | Radiology | 917 Rinehart Rd Ste 1051, Lake Mary, FL 32746-4853 | 2006-05-22 |
| 1902262371 | Central Florida Imaging, LLC. | Radiology | 1343 S International Pkwy, Lake Mary, FL 32746-1401 | 2016-01-14 |
| 1427420298 | Lake Mary Radiology, Pllc | Radiology | 1540 International Pkwy, Suite 2000, Lake Mary, FL 32746-5096 | 2015-10-20 |
| 1881843605 | Soca Imaging Inc | Radiology | 917 Rinehart Rd Ste 1051, Lake Mary, FL 32746-4853 | 2008-09-17 |
| 1043416928 | Heathrow Imaging LLC | Radiology | 1343 South International Parkway, Suite 1351 Bldg 3, Lake Mary, FL 32746-1401 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263941 | Pro Rad Imaging Services, LLC | Radiology | 81 N Hibiscus Dr, Miami Beach, FL 33139-5117 | 2020-10-18 |
| 1144834763 | Tower Imaging LLC | Radiology | 17416 Brookside Trace Ct., Tampa, FL 33647-3589 | 2020-09-01 |
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1285243394 | Florida Radiology Imaging At Lake Mary LLC | Radiology | 2488 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4948 | 2020-07-24 |
| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1255956280 | Radiology Consultants of Hollywood Inc | Radiology | 310 W 41st St, Miami Beach, FL 33140-3603 | 2020-06-16 |
| 1366067712 | Baycare Outpatient Imaging LLC | Radiology | 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 | 2020-06-11 |
| 1982225009 | Radiology and Nuclear Medicine Services LLC | Radiology | 1020 Nw 94th Ter, Plantation, FL 33322-4816 | 2020-04-29 |
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1316576705 | Morton Plant Mease Health Services Inc | Radiology | 1840 Mease Dr Ste 103, Safety Harbor, FL 34695-6603 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| 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.