Lakes Radiology Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC4328 Issued in FL

Legal business name

LAKES RADIOLOGY INC

Practice address

14575 NW 77TH Ave Ste 100-200
Miami Lakes, FL 33014-2547

Phone

(305) 231-1115

Fax

(305) 231-1116

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Arriaga

Title

President

Phone

(305) 231-1115

Specialties & licenses 1

Addresses

Other identifiers 15

Tax ID family

Lakes Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lakes Radiology Inc

  • Diagnostic Radiology Physician
  • Miami Lakes, FL
  • NPI 1679619589
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Jennifer Keedy, MD

  • Diagnostic Radiology Physician
  • Long Branch, NJ
  • NPI 1447265897
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1386790889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 NW 77TH AVE STE 100-200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142547",
            "telephone_number": "305-231-1115",
            "fax_number": "305-231-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 NW 77TH AVE STE 100-200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142547",
            "telephone_number": "305-231-1115",
            "fax_number": "305-231-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "ARRIAGA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-231-1115"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC4328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "212587",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS CARE",
            "identifier": "LRI 1000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "SG073549",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "1044429",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE  STAYWELL",
            "identifier": "222795",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2807",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTH CHOICE",
            "identifier": "3964",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4193759",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PARTNERS",
            "identifier": "001W3",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "293269",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119846600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUNCOAST PHYSICIAN",
            "identifier": "7025163",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "48625",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSUN",
            "identifier": "53845",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN NETWORK",
            "identifier": "5533957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakes Equipment & Supplies, Inc.
• Lakes Healthcare & Spa
• Lakes Healthcare & Wellness
• Lakes Imaging Services Inc
• Lakes Medical Supply Inc
• Lakes Radiology Inc
• Lakes Rehab
• Lakes Rehabilitation Center Inc
• Lakes Solutions Supply LLC
• Natalie Caridad Lamelas, PHARMD

• Diagnostic Radiology Physician in Miami Lakes, FL
• Providers in Miami Lakes, 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 Dec 15, 2023; 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.