CLERMONT RADIOLOGY LLC NPI 1003328642

NPI Information

CLERMONT RADIOLOGY LLC is a radiology clinic center in Clermont, FL. CLERMONT RADIOLOGY LLC NPI is 1003328642. The provider is registered as an organization entity type.
The provider Is Doing Business As Clermont Radiology-kings Ridge.

The provider's business location address is:

3725 SOUTH HIGHWAY 27
SUITE 104
CLERMONT, FL
ZIP 34711
Phone: (352) 241-6100
Fax: (352) 241-6101

The provider's authorized official is Robert S. Kolb .
The authorized official title is President/ceo and has the following contact phone number (770) 833-1456.

The CLIA number assigned to this NPI record is 10D2158833 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2017 and was last updated on 11/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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