SUMMERLIN IMAGING CENTER LLC NPI 1205888468

NPI Information

  • NPI: 1205888468
  • Provider Name: SUMMERLIN IMAGING CENTER LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: SUMMERLIN IMAGING CENTER
  • Address: 20 BARKLEY CIR
    SUITE 104
    FT MYERS, FL
    ZIP 33907
  • Phone: (239) 425-0370

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NPI Details

SUMMERLIN IMAGING CENTER LLC is a diagnostic radiology radiology in Ft Myers, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SUMMERLIN IMAGING CENTER LLC NPI is 1205888468. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summerlin Imaging Center.

The provider's business location address is:

20 BARKLEY CIR
SUITE 104
FT MYERS, FL
ZIP 33907-545
Phone: (239) 425-0370
Fax: (239) 425-0380

The provider's authorized official is Bradford Peters .
The authorized official title is Cfo and has the following contact phone number (561) 331-0808.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/25/2020.

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
12085R0202XRadiologyDiagnostic RadiologyHCC4472FLORIDAYes

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
1V2882OTHERFLORIDABCBS PROVIDER #

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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