NPIMap

Organization Active NPI

LMR Imaging

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1467445544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC 3691 Issued in FL
Legal business name
LMR IMAGING
Practice address
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone
(239) 334-5122
Fax
(239) 334-5652
NPI assigned
Aug 24, 2005
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
Cindy Mastice
Title
Director of Managed Care
Phone
(973) 983-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC 3691 FL Primary

Addresses

Primary practice location

2776 Cleveland Ave
Fort Myers, FL 33901-5864

Mailing address

1455 Broad St
4TH Floor
Bloomfield, NJ 07003-3003
Phone (973) 707-1100

Other names 1

  • LMR Imaging Cleveland Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LMR Imaging5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467445544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "4TH FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033003",
            "telephone_number": "973-707-1100",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015864",
            "telephone_number": "239-334-5122",
            "fax_number": "239-334-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMR IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTICE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "973-983-9950"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC 3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMR Imaging  Cleveland Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, 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.