Organization Active NPI

Encore Imaging LLC

  • Radiology Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1083290894
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ENCORE IMAGING LLC
Practice address
4928 S Cleveland Ave
Fort Myers, FL 33907-1323
Phone
(305) 525-0938
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Ms. Leigh Anne Fernandes
Title
Member
Phone
(305) 525-0938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4928 S Cleveland Ave
Fort Myers, FL 33907-1323

Mailing address

6485 Indigo Bunting PL
Lakewood Ranch, FL 34202-8246
Phone (305) 525-0938

National Provider Directory

National Provider Directory

Locations

4928 S Cleveland Ave
#30
Fort Myers, FL 33907

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1083290894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 INDIGO BUNTING PL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028246",
            "telephone_number": "305-525-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 S CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071323",
            "telephone_number": "305-525-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "305-525-0938",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.