NPIMap

Organization Active NPI

Intellirad Imaging, LLC

  • Diagnostic Radiology Physician
  • Milton, FL
National Provider Identifier
1043019714
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTELLIRAD IMAGING, LLC
Practice address
4262 Woodbine Rd
Milton, FL 32571-8703
Phone
(850) 494-4600
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
INTELLIRAD IMAGING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald JosephNPI 1871545194
Title
Partner
Phone
(305) 712-7229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

4262 Woodbine Rd
Milton, FL 32571-8703

Mailing address

PO Box 7623
Naples, FL 34101-7623

National Provider Directory

National Provider Directory
Tax ID family
Intellirad Imaging LLC27 organizations share this tax ID, including this one
Part of
Intellirad Imaging LLC

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1043019714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 WOODBINE RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325718703",
            "telephone_number": "850-494-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIRAD IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTELLIRAD IMAGING, LLC",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-712-7229"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.