Active NPI
Little Life Imaging
- Diagnostic Ultrasound Physician
- Winter Garden, FL
National Provider Identifier
1427393255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- LITTLE LIFE IMAGING
- Practice address
- 213 S Dillard St
Winter Garden, FL 34787-3596 - Phone
- (407) 892-1059
- NPI assigned
- Dec 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracy Kim Laberge, SONOGRAPHER
- Title
- Managing Partner
- Phone
- (407) 892-1059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | Primary |
Addresses
Primary practice location
213 S Dillard St
Winter Garden, FL 34787-3596
Mailing address
213 S Dillard St
Winter Garden, FL 34787-3596
Phone (407) 892-1059
National Provider Directory
National Provider DirectoryLocations
213 S Dillard St
Winter Garden, FL 34787
Phone (407) 285-7907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354665600000",
"number": "1427393255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S DILLARD ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873596",
"telephone_number": "407-892-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 S DILLARD ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873596",
"telephone_number": "407-892-1059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE LIFE IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-05",
"last_updated": "2012-12-05",
"status": "A",
"authorized_official_last_name": "LABERGE",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "KIM",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "407-892-1059",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "SONOGRAPHER"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.