Physicians Imaging -- Lake City LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC7889 Issued in FL

Legal business name

PHYSICIANS IMAGING -- LAKE CITY LLC

Practice address

404 NW Hall of Fame Dr
Lake City, FL 32055-4833

Phone

(386) 487-3970

Fax

(386) 487-3972

NPI assigned

Aug 8, 2007

Last updated

Apr 27, 2022By 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

Dr. Elias J Gerth, MD

Title

Ceo

Phone

(352) 383-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1588855027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-487-3970",
            "fax_number": "386-487-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NW HALL OF FAME DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554833",
            "telephone_number": "386-487-3970",
            "fax_number": "386-487-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS IMAGING -- LAKE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "GERTH",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-383-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC7889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ann O Phillips, APRN
• Kevin Philpott
• Scarlette Phommathep
• Physicians for a Community United for Research and Education LLC
• Physicians Group Services PA (Coastal Health)
• Herold Pierre-Louis, MD
• Nancy Pierre, COTA
• Alexis Piscitello, DMD
• Pamela Pittman
• Adaira Pitts, LMT

• Radiology Clinic/Center in Lake City, FL
• Providers in Lake City, 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 Apr 27, 2022; 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.