Triad Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TRIAD RADIOLOGY LLC

Practice address

1500 Lee Blvd
Lehigh Acres, FL 33936-4835

Phone

(239) 368-4710

Fax

(941) 637-3873

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Miles E Gilman

Title

President

Phone

(305) 665-1197

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1629262266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E OLYMPIA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503833",
            "telephone_number": "941-637-9729",
            "fax_number": "941-637-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364835",
            "telephone_number": "239-368-4710",
            "fax_number": "941-637-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-665-1197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "98264",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Travieso
• Amber M Tremblay, CNA
• Jessica Anne Tremblay
• Yolanda Tremol Rodriguez
• Michelle Trevino, PMHNP-BC
• Alexis Abraham Triana, RBT
• Soledad Triana, PA-C
• Yeni Triana
• Trident Health Consultants,LLC
• Stephanie Tripp, OTR/L

• Diagnostic Radiology Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, 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 Mar 6, 2008; 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.