Professional Radiology Associates

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

72864 Issued in FL

Legal business name

PROFESSIONAL RADIOLOGY ASSOCIATES

Practice address

212 N 2ND St
Leesburg, FL 34748-5103

Phone

(352) 435-0723

Fax

(352) 435-0724

NPI assigned

Mar 17, 2015

Organization subpart

No

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

Authorized official

Name

Teresa A. Hill

Title

Office Administrator

Phone

(352) 435-0723

Specialties & licenses 1

Addresses

Tax ID family

Alliance MRI of Florida3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Professional Radiology Associates PA

  • Mobile Radiology Clinic/Center
  • Daytona Beach, FL
  • NPI 1790224285
  NPD tax ID
• Professional Radiology Associates PA

  • Mobile Radiology Clinic/Center
  • Orange City, FL
  • NPI 1912446766
  NPD tax ID

Locations

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1104219948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29750 US 19 N",
            "address_2": "SUITE 205",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611510",
            "telephone_number": "352-435-0723",
            "fax_number": "352-435-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485103",
            "telephone_number": "352-435-0723",
            "fax_number": "352-435-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-435-0723"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "72864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denver Charles Price, RPFT,CRT-NPS,RPFT
• Primary Care Physicians Consulting, Inc
• Primary Care Physicians Consulting, Inc
• Prime Radiology of Leesburg Inc
• Professional Gastroenterology & Nutrition Associates, P.a.
• Professional Radiology Associates, P.a.
• Christina Proud, MD
• Diane Marie Pruitt, RPH
• Publix
• Publix Super Markets Inc

• Diagnostic Radiology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.