MRI Associates of Venice, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC9091 Issued in FL

Legal business name

MRI ASSOCIATES OF VENICE, LLC

Doing business as

Venice MRI

Practice address

1370 E Venice Ave Ste 101
Venice, FL 34285-9083

Phone

(941) 484-6500

Fax

(941) 484-6556

NPI assigned

Mar 23, 2016

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Maple

Title

Cao

Phone

(727) 787-6900

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Venice MRI Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles L Domson II, M.D.

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1841281557
  NPD
• Doug Eiland, MD

  • Vascular & Interventional Radiology Physician
  • Tarpon Springs, FL
  • NPI 1376511576
  NPD
• Mario J Lopez, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1710990882

  Diagnostic Radiology

  NPD
• Jayson A Lord, M.D.

  • Diagnostic Radiology Physician
  • Lantana, FL
  • NPI 1285625046
  NPD
• Michael P O'Neill, M.D.

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1073504650
  NPD
• Thomas Okulski, MD

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1952381600
  NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1477915031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE",
            "address_2": "SUITE 101",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 101",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859083",
            "telephone_number": "941-484-6500",
            "fax_number": "941-484-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21186 Olean Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526707",
            "country_code": "US",
            "telephone_number": "941-289-0705",
            "fax_number": "941-237-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MRI ASSOCIATES OF VENICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "MAPLE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "727-787-6900"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC9091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QHZSH",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113978000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venice MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Morin
• Hugh R Morrow, RPH
• Tamara L Morton, PTA
• Jennifer Mower, OT
• Tyler Andrew Moyer, D.C.
• Ms Dental
• MSC (Mobile SC)
• Carl Muckerheide, PHARM.D.
• Patricia A Mulry
• Melissa Mulvihill

• Radiology Clinic/Center in Venice, FL
• Providers in Venice, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.