NPIMap

Organization Active NPI

Radiology & Imaging Specialists of Lakeland

  • Diagnostic Radiology Physician
  • Wimauma, FL
National Provider Identifier
1134859846
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Practice address
16504 US 301 S
Wimauma, FL 33598-2041
Phone
(863) 688-2334
Fax
(706) 653-1230
NPI assigned
Jun 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
John Barrett
Title
Cfo
Phone
(863) 688-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

16504 US 301 S
Wimauma, FL 33598-2041

Mailing address

PO Box 20027
Tampa, FL 33622-0027
Phone (800) 475-6112

National Provider Directory

National Provider Directory
Tax ID family
Radiology Imaging Spec38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1134859846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20027",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220027",
            "telephone_number": "800-475-6112",
            "fax_number": "706-653-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16504 US 301 S",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982041",
            "telephone_number": "863-688-2334",
            "fax_number": "706-653-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-688-2334"
    },
    "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 Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.