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LAKEWOOD RANCH IMAGING CENTER NPI 1104839737


NPI Information

NPI: 1104839737
Provider Name: LAKEWOOD RANCH IMAGING CENTER
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
8330 LAKEWOOD RANCH BLVD
BRADENTON, FL
ZIP 34202
Phone: (941) 782-3050
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LAKEWOOD RANCH IMAGING CENTER is a body imaging radiology in Bradenton, FL. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. LAKEWOOD RANCH IMAGING CENTER NPI is 1104839737. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8330 LAKEWOOD RANCH BLVD
BRADENTON, FL
ZIP 34202-174
Phone: (941) 782-3050

The provider's authorized official is Diane Bynum .
The authorized official title is Director and has the following contact phone number (941) 782-3050.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/17/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
174565MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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