PROFESSIONAL RADIOLOGY ASSOCIATES PA NPI 1568749786

NPI Information

NPI: 1568749786
Provider Name: PROFESSIONAL RADIOLOGY ASSOCIATES, PA

Doing Business As: ADVANCED IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1639 N VOLUSIA AVE
ORANGE CITY, FL
ZIP 32763
Phone: (386) 774-7226
Get Directions

PROFESSIONAL RADIOLOGY ASSOCIATES, PA is a radiology clinic center in Orange City, FL. PROFESSIONAL RADIOLOGY ASSOCIATES, PA NPI is 1568749786. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Imaging.

The provider's business location address is:

1639 N VOLUSIA AVE
ORANGE CITY, FL
ZIP 32763-843
Phone: (386) 774-7226
Fax: (386) 774-7227

The provider's authorized official is Michael Oneill .
The authorized official title is Owner/physician and has the following contact phone number (386) 774-7226.

The enumeration date for this NPI number is 11/16/2011 and was last updated on 4/19/2023.

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
1	2085R0202X	Radiology	Diagnostic Radiology			No
2	261QR0200X	Clinic/Center	Radiology			Yes

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
1	007181000	MEDICAID	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »