Altamonte Springs Diagnostic Imaging Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC4173 Issued in FL

Legal business name

ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC

Doing business as

Mid Florida Imaging

Practice address

195 S. Westmonte Dr
Suite 1118
Altamonte Springs, FL 32714-4219

Phone

(407) 786-5877

Fax

(407) 786-5803

NPI assigned

Sep 15, 2006

Organization subpart

Yes

Parent organization

ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INCAs reported in NPPES

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

Authorized official

Name

Dr. Ronald I Landau, M.D.

Title

Owner

Phone

(407) 482-5253

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MID FLORIDA IMAGING Doing business as

Part of

Mid Florida Imaging

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1275639767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S. SEMORAN BLVD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071424",
            "telephone_number": "407-482-5253",
            "fax_number": "407-482-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S. WESTMONTE DR",
            "address_2": "SUITE 1118",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-786-5877",
            "fax_number": "407-786-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-482-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC4173",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "V2219",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID FLORIDA IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.