Meditek-Icot Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC3760 Issued in FL

Legal business name

MEDITEK-ICOT INC.

Doing business as

Lutz Radiology Center

Practice address

1916 Highland Oaks Blvd
Lutz, FL 33559-7323

Phone

(813) 909-7476

Fax

(813) 909-2026

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Thomas G Winter

Title

President

Phone

(772) 463-8256

Specialties & licenses 1

Addresses

Other names 1

• LUTZ RADIOLOGY CENTER Doing business as

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 Maximo (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)…

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649227893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862813",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862813",
            "telephone_number": "772-600-0324",
            "fax_number": "772-600-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 HIGHLAND OAKS BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597323",
            "telephone_number": "813-909-7476",
            "fax_number": "813-909-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITEK-ICOT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-463-8256"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUTZ RADIOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome McNair
• David McPartland, PHARMD
• Meaningful Concierge Healthcare LLC
• Medical Wellness Center
• Raul Medina Rojo, MSN, APRN, PMHNP-BC
• Nancy Mehindru, RPH
• Rob W Mehlenbacher, PMHNP-BC
• Rahul Nandan Mehra, M.D.
• Anya Mehta Mehta
• Jaina Morar Mehta, PA-C

• Radiology Clinic/Center in Lutz, FL
• Providers in Lutz, 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 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.