Lad Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LAD IMAGING, LLC

Practice address

942 Saxon Blvd
Orange City, FL 32763-8313

Phone

(386) 774-5752

Fax

(386) 774-6784

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Birmingham

Title

Director

Phone

(615) 373-7625

Specialties & licenses 1

Addresses

Other names 1

• no dba LAD Imaging , LLC (Orange City) Doing business as

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619967965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638313",
            "telephone_number": "386-774-5752",
            "fax_number": "386-774-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638313",
            "telephone_number": "386-774-5752",
            "fax_number": "386-774-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAD IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-373-7625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no dba LAD Imaging , LLC (Orange City)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Nicole Kovacevic, MS CCC SLP
• Aaron Michael Krueger, M.D.
• Paul Kudlick, PT, DPT
• Kyro Care Orange City LLC
• Erica Eban Lackey, OTR/L
• Kathrine Lafond-Poli
• Breanne Lagg, RBT
• Michael Lagoe
• PO-Nan Lai, PT
• Cathleen Quach Landers, D.C.

• Diagnostic Radiology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Diagnostic Radiology Physician in Florida

• 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.