Lad Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LAD IMAGING LLC

Practice address

1555 Saxon Blvd
Ste 401
Deltona, FL 32725-5861

Phone

(386) 532-0094

Fax

(386) 532-0451

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William B. Rutherford

Title

Senior VP

Phone

(615) 309-2190

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas C. Redd, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1205824497
  NPD (past)
• Dishant G Shah, M.D.

  • Diagnostic Radiology Physician
  • Fredericksburg, VA
  • NPI 1497963011
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1144210477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SAXON BLVD",
            "address_2": "STE 401",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255861",
            "telephone_number": "386-532-0094",
            "fax_number": "386-532-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SAXON BLVD",
            "address_2": "STE 401",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255861",
            "telephone_number": "386-532-0094",
            "fax_number": "386-532-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAD IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "615-309-2190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280837400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "V3036",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavanya Krishnan
• Lisa Krupa, MS, LMHC
• Leandra Marie Kunzeman, APRN
• Dianne Kyle, ARNP
• La Familia Home Health Caring
• Lad Imaging LLC
• Esther Lafortune
• Whitney Lake
• Shirish Lala, MHS, OTR/L
• Rachel Langdon, RBT

• All providers in Deltona, FL
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.