Active NPI
Imaging Services PA
- Vascular & Interventional Radiology Physician
- Gainesville, FL
National Provider Identifier
1245394220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- IMAGING SERVICES PA
- Practice address
- 10415 SW 23Rd Ave
Gainesville, FL 32607-3564 - Phone
- (352) 333-0166
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Satish Venkataperumal, M.D.
- Title
- Owner
- Phone
- (352) 219-0166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | FL | Primary |
Addresses
Primary practice location
10415 SW 23Rd Ave
Gainesville, FL 32607-3564
Mailing address
10415 SW 23Rd Ave
Gainesville, FL 32607-3564
Phone (352) 333-0166
National Provider Directory
National Provider DirectoryLocations
4811 Beach Blvd
Ste 401
Jacksonville, FL 32207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1245394220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10415 SW 23RD AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326073564",
"telephone_number": "352-333-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10415 SW 23RD AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326073564",
"telephone_number": "352-333-0166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "VENKATAPERUMAL",
"authorized_official_first_name": "SATISH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-219-0166",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.