Invision Diagnostics of Florida LLC

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

INVISION DIAGNOSTICS OF FLORIDA LLC

Practice address

1025 SW Martin Downs Blvd Ste 201
Palm City, FL 34990

Phone

(877) 318-1349

Fax

(772) 263-8887

NPI assigned

Dec 19, 2017

Last updated

Feb 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Kerry Lawrence

Title

Member

Phone

(877) 318-1349

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Invision Diagnostics of Florida LLC

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1407560196

  0941565816

  Same PAC ID

Tax ID family

Invision Diagnostics of Florida LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Invision Diagnostics of Florida LLC

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1407560196
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• HealthSun Health Plans Network

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Invision Diagnostics of Florida LLC

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1407560196
  NPPES parent name

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.

• John William Wittenborn, M.D.

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1720181167

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1114433604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13219",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277093219",
            "telephone_number": "877-318-1349",
            "fax_number": "772-263-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 SW MARTIN DOWNS BLVD STE 201",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "877-318-1349",
            "fax_number": "772-263-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVISION DIAGNOSTICS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "877-318-1349"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Hutchens
• Ictm
• Index Health, Inc.
• Christie Ingraham
• Inspiring Radiance, LLC
• Jeanine Ishmael
• J.S. Davis L.L.C. (Palm City Eyecare)
• Cheridah James, RBT
• Nicole Lynn Jared, RBT
• Kalie Jean

• Clinic/Center in Palm City, FL
• Providers in Palm City, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.