NPIMap

Organization Active NPI

East Central Florida Outpatient Imaging LLC

Doing business as Radiology Associates New Smyrna Beach

  • Diagnostic Radiology Physician
  • New Smyrna Beach, FL
National Provider Identifier
1255907267
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Doing business as
Radiology Associates New Smyrna Beach
Practice address
1998 State Road 44 Ste 3
New Smyrna Beach, FL 32168-8303
Phone
(386) 274-7118
Fax
(386) 274-6173
NPI assigned
Jun 1, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Al Falco
Title
Ceo
Phone
(386) 274-7118

Specialties & licenses 1

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

Addresses

Primary practice location

1998 State Road 44 Ste 3
New Smyrna Beach, FL 32168-8303

Mailing address

PO Box 678454
Dallas, TX 75267-8454

Other names 1

  • Radiology Associates New Smyrna Beach Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2263882Radiology Associates New Smyrna Beach1998 State Road 44, Suite 3, New Smyrna Beach, FL 32168Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
East Central Florida Outpatient Imaging LLC11 organizations share this tax ID, including this one
Part of
East Central Florida Outpatient Imaging LLC

Other organizations with this tax ID 10

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

Locations

1998 State Road 44
Ste 3
New Smyrna Beach, FL 32168

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1255907267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 STATE ROAD 44 STE 3",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688303",
            "telephone_number": "386-274-7118",
            "fax_number": "386-274-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "FALCO",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-274-7118"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Associates New Smyrna Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiology Associates New Smyrna Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.