LAD IMAGING LLC NPI 1194716118

NPI Information

  • NPI: 1194716118
  • Provider Name: LAD IMAGING LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: 1193 SOUTH WOODLAND BLVD
    DELAND, FL
    ZIP 32720
  • Phone: (386) 574-5748

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NPI Details

LAD IMAGING LLC is a radiology clinic center in Deland, FL. LAD IMAGING LLC NPI is 1194716118. The provider is registered as an organization entity type.

The provider's business location address is:

1193 SOUTH WOODLAND BLVD
DELAND, FL
ZIP 32720-416
Phone: (386) 574-5748
Fax: (386) 574-0712

The provider's authorized official is Lavelle R Hardin .
The authorized official title is Credentialing Coordinator and has the following contact phone number (615) 344-8203.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 10/9/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0206XClinic/CenterRadiology, MammographyNo
3261QR0200XClinic/CenterRadiologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1280838200MEDICAIDFLORIDA
2U4445AMEDICARE PINFLORIDA
3V2977OTHERFLORIDABCBS OF FL

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: 11/21/2025

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