NPIMap

Organization Active NPI

Radiology & Imaging Specialists of Lakeland, PA

Doing business as Central Imaging Center

  • Diagnostic Radiology Physician
  • Lakeland, FL
National Provider Identifier
1649543992
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Doing business as
Central Imaging Center
Practice address
1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542
Phone
(863) 688-2334
Fax
(706) 653-1230
NPI assigned
Feb 17, 2012
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
John Barrett
Title
Cfo
Phone
(863) 688-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1305 Lakeland Hills Blvd
Lakeland, FL 33805-4542

Mailing address

PO Box 20027
Tampa, FL 33622-0027
Phone (800) 475-6112

Other names 1

  • CENTRAL IMAGING CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000484 FL Part B Supplier - Clinic/Group Practice 2264422294 Receives reassigned benefits from 88 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2167348Radiology and Imaging Specialists of Lakeland PA1305 Lakeland Hills Blvd, Lakeland, FL 33805Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory
Part of
Michael J Petruschak MD

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1649543992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20027",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220027",
            "telephone_number": "800-475-6112",
            "fax_number": "706-653-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054542",
            "telephone_number": "863-688-2334",
            "fax_number": "706-653-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA",
        "enumeration_date": "2012-02-17",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "863-688-2334"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL IMAGING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.