Provider Type Icon

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND PA NPI 1912406984


NPI Information

NPI: 1912406984
Provider Name: RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND PA

Doing Business As: LAKELAND VASCULAR INSTITUTE OUTPATIENT CENTER

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 10D2146992

Address:
3221 S FLORIDA AVE STE B
LAKELAND, FL
ZIP 33803
Phone: (863) 577-0296
Get Directions

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND PA is a vascular and interventional radiology radiology in Lakeland, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND PA NPI is 1912406984. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeland Vascular Institute Outpatient Center.

The provider's business location address is:

3221 S FLORIDA AVE STE B
LAKELAND, FL
ZIP 33803-550
Phone: (863) 577-0296

The provider's authorized official is Edward J Goodemote .
The authorized official title is Ceo and has the following contact phone number (863) 577-0303.

The CLIA number assigned to this NPI record is 10D2146992 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.


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
12085R0204XRadiologyVascular & Interventional RadiologyYes
2261QR0200XClinic/CenterRadiologyNo

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

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.