Cleveland Radiology Center Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

CLEVELAND RADIOLOGY CENTER INC

Practice address

12995 S Cleveland Ave Ste 182
Fort Myers, FL 33907-7719

Phone

(305) 775-9986

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mario Fonseca

Title

General Manager

Phone

(305) 775-9986

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1114247053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 182",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077719",
            "telephone_number": "305-775-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 182",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077719",
            "telephone_number": "305-775-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND RADIOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "305-775-9986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Cleary, CRNA
• Lea Clem, OT
• Gabrielle Clement, LMHC
• Phillip Shane Clemons
• Alexis Clermont
• Cleveland Rehab Center Corp
• Cleveland Rehabilitation Center, LLC
• Cleveland RX LLC
• Alicia Cleveland
• Tammy J Clevenger, LCSW

• Magnetic Resonance Imaging (MRI) Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.