Organization Active NPI

Risgimm, LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
National Provider Identifier
1659821585
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RISGIMM, LLC
Practice address
206 W Alexander St Ste 1
Plant City, FL 33563-7100
Phone
(863) 577-0303
Fax
(863) 577-0301
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Mr. Edward Joseph Goodemote, PHD., RN
Title
Chief Executive Officer
Phone
(863) 577-0303

Specialties & licenses 1

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

Addresses

Primary practice location

206 W Alexander St Ste 1
Plant City, FL 33563-7100

Mailing address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone (863) 577-0303

Other names 1

  • Plant City MRI Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1659821585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CRYSTAL GROVE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016875",
            "telephone_number": "863-577-0303",
            "fax_number": "863-577-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W ALEXANDER ST STE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637100",
            "telephone_number": "863-577-0303",
            "fax_number": "863-577-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISGIMM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "GOODEMOTE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "863-577-0303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD., RN"
    },
    "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": "Plant City MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.