SAND LAKE IMAGING LLLP NPI 1770565178

NPI Information

NPI: 1770565178
Provider Name: SAND LAKE IMAGING LLLP
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
CLIA Number: 10D1083992
Address: 9350 TURKEY LAKE RD
ORLANDO, FL
ZIP 32819
Phone: (407) 363-2772

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NPI Details

SAND LAKE IMAGING LLLP is a diagnostic radiology radiology in Orlando, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SAND LAKE IMAGING LLLP NPI is 1770565178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9350 TURKEY LAKE RD
ORLANDO, FL
ZIP 32819-319
Phone: (407) 363-2772
Fax: (407) 745-2844

The provider's authorized official is Susan C Holman .
The authorized official title is Sr. Director, Rcm and has the following contact phone number (866) 674-7933.

The CLIA number assigned to this NPI record is 10D1083992 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2005 and was last updated on 1/14/2022.

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			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	DD2395	OTHER		RAILROAD MEDICARE
2	V2904	OTHER	FLORIDA	BC BS OF 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: 11/21/2025

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