Organization Active NPI

Little Life Imaging

  • Diagnostic Ultrasound Physician
  • Winter Garden, FL
National Provider Identifier
1427393255
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
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

Updated by the provider on Dec 5, 2012

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)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.