Active NPI
Radiology Consultants, PA
- Diagnostic Radiology Physician
- Lake Wales, FL
National Provider Identifier
1164613766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY CONSULTANTS, PA
- Practice address
- 410 S 11TH St
Lake Wales, FL 33853-4203 - Phone
- (863) 676-1433
- NPI assigned
- Aug 8, 2007
- Organization subpart
- Yes
- Parent organization
- RADIOLOGY CONSULTANTS, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Deanna Lepere, BS
- Title
- Assistant Administrator
- Phone
- (863) 293-1071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
410 S 11TH St
Lake Wales, FL 33853-4203
Mailing address
PO Box 2317
Winter Haven, FL 33883-2317
Phone (863) 293-1071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00297 | Other | FL | MEDICARE |
National Provider Directory
National Provider Directory- Tax ID family
- Ultra-Echo Inc
- Part of
- Ultra-Echo Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Winter Haven, FL
- NPI 1356530091
-
- Diagnostic Radiology Physician
- Davenport, FL
- NPI 1942491683
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Diagnostic Radiology Physician
- Winter Haven, FL
- NPI 1356530091
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Winter Haven, FL
- NPI 1497755912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1164613766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2317",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338832317",
"telephone_number": "863-293-1071",
"fax_number": "863-295-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S 11TH ST",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338534203",
"telephone_number": "863-676-1433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY CONSULTANTS, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIOLOGY CONSULTANTS, PA",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "LEPERE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "DEANNA",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "863-293-1071",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00297",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
- Qiv Tech Academy, Inc
- Quik Stop Mobile Labs, LLC
- Krizia Lee Quinones Ramos
- Gladys S Quizon, RPT
- Radiology & Imaging Specialists of Lakeland
- Rai Care Centers of Florida II, LLC
- Anu Chetticheril Raju
- Maurice Anthony Ramirez, D.O. PH.D.
- Manisha Rayavarapu, D.O.
- Real Asset Solutions Technologies & Investments LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.