Organization Active NPI

Sara Radiology Inc

  • Radiology Clinic/Center
  • Port Charlotte, FL
National Provider Identifier
1346443819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
ME95607 Issued in FL
Legal business name
SARA RADIOLOGY INC
Practice address
2400 Harbor Blvd
Unit #7
Port Charlotte, FL 33952-5052
Phone
(941) 625-0677
Fax
(941) 625-0688
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Irene Wieder
Title
Practice Administrator
Phone
(941) 625-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X ME95607 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Unit #7
Port Charlotte, FL 33952-5052

Mailing address

7595 Baymeadows Cir W
Apt#506
Jacksonville, FL 32256-1879
Phone (301) 404-9552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346443819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 BAYMEADOWS CIR W",
            "address_2": "APT#506",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561879",
            "telephone_number": "301-404-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "UNIT #7",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-625-0677",
            "fax_number": "941-625-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIEDER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-625-0677"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "ME95607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.