NPIMap

Organization Active NPI

Lake City Imaging LLC

  • Diagnostic Radiology Physician
  • Lake City, FL
National Provider Identifier
1295038115
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAKE CITY IMAGING LLC
Practice address
3140 NW Medical Center LN
Suite 100
Lake City, FL 32055-4717
Phone
(386) 755-2020
Fax
(386) 755-0690
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mr. Lavelle R Hardin
Title
Managed Care Analyst
Phone
(615) 372-5441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3140 NW Medical Center LN
Suite 100
Lake City, FL 32055-4717

Mailing address

3140 NW Medical Center LN
Suite 100
Lake City, FL 32055-4717
Phone (386) 755-2020

Other names 1

  • Invision Imaging Center at Lake City Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1295038115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 NW MEDICAL CENTER LN",
            "address_2": "SUITE 100",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554717",
            "telephone_number": "386-755-2020",
            "fax_number": "386-755-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 NW MEDICAL CENTER LN",
            "address_2": "SUITE 100",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554717",
            "telephone_number": "386-755-2020",
            "fax_number": "386-755-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGED CARE ANALYST",
        "authorized_official_telephone_number": "615-372-5441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invision Imaging Center at Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.