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Radiology & Imaging Specialists Of Lakeland, PA

Radiology, Diagnostic Radiology in Kissimmee, FL. Organization (NPI-2).

NPI number1124530761
StatusActive
Last updated in NPPESSep 16, 2022

Details

NPI
1124530761
Entity type
Organization (NPI-2)
Legal business name
Radiology & Imaging Specialists Of Lakeland, PA
Organization subpart
Yes
Enumeration date
Nov 3, 2017
Certification date
Sep 13, 2022
Last updated
Sep 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes
2085R0204X Radiology, Vascular & Interventional Radiology––

Other names

  • Health Imaging Services (Other Name)

Practice location

3016 Dyer Boulevard
Kissimmee, FL 34741

Phone 941-782-9456

Mailing address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875

Authorized official

Martha Lima
Treasurer
8636882334

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