Active NPI
Heathrow Imaging LLC
- Diagnostic Radiology Physician
- Lake Mary, FL
National Provider Identifier
1043416928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- HEATHROW IMAGING LLC
- Practice address
- 1343 South International Parkway
Suite 1351 BLDG 3
Lake Mary, FL 32746-1401 - Phone
- (407) 333-4464
- Fax
- (407) 333-4393
- NPI assigned
- Jun 26, 2007
- Last updated
- Oct 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lavelle R Hardin
- Title
- Credentialing Coordinator
- Phone
- (615) 344-8203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1343 South International Parkway
Suite 1351 BLDG 3
Lake Mary, FL 32746-1401
Mailing address
1343 South International Parkway
Suite 1351 BLDG 3
Lake Mary, FL 32746-1401
Phone (407) 333-4464
National Provider Directory
National Provider DirectoryLocations
1343 S International Pkwy
Ste 1351
Lake Mary, FL 32746
Phone (407) 333-4464
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Diagnostic Radiology Physician
- West Palm Beach, FL
- NPI 1972561553
-
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1053346999
-
- Diagnostic Radiology Physician
- North Chesterfield, VA
- NPI 1881677854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1043416928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 SOUTH INTERNATIONAL PARKWAY",
"address_2": "SUITE 1351 BLDG 3",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461401",
"telephone_number": "407-333-4464",
"fax_number": "407-333-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 SOUTH INTERNATIONAL PARKWAY",
"address_2": "SUITE 1351 BLDG 3",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461401",
"telephone_number": "407-333-4464",
"fax_number": "407-333-4393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHROW IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "HARDIN",
"authorized_official_first_name": "LAVELLE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "615-344-8203",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.