Lakes Radiology Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

P03000029264 Issued in FL

Legal business name

LAKES RADIOLOGY INC

Practice address

14575 NW 77TH Ave Ste 100-200
Miami Lakes, FL 33014-2547

Phone

(305) 231-1115

Fax

(305) 231-1116

NPI assigned

Jan 29, 2007

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Arriaga

Title

President

Phone

(305) 231-1115

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Tax ID family

Lakes Radiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lakes Radiology Inc

  • Diagnostic Radiology Physician
  • Miami Lakes, FL
  • NPI 1386790889
  NPD tax ID

Locations

Practitioners 12

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.

• Jose Enrique Escalante, M.D.

  • Cardiovascular Disease Physician
  • Hialeah, FL
  • NPI 1104929025
  NPD
• Mark S Girguis, MD

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
  • NPI 1477591154
  NPD
• Samuel Guirguis, D.O.

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
  • NPI 1831332832
  NPD
• Mark Paul Preston, M.D., J.D.

  • Diagnostic Radiology Physician
  • Indialantic, FL
  • NPI 1396729810
  NPD
• Gerard J Sais, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1902862550
  NPD
• John H Sokolowicz, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1518067032
  NPD
• Emad N Yacoub, MD

  • Diagnostic Radiology Physician
  • Tarpon Springs, FL
  • NPI 1982803532
  NPD
• Brandon W Chan, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1215957485
  NPD
• Lindsey Lea Grandbois, D.O.

  • Diagnostic Radiology Physician
  • Clive, IA
  • NPI 1720250319
  NPD
• Courtney Masse, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1760613160
  NPD
• Costas Stavrakis, D.O

  • Diagnostic Radiology Physician
  • Cooperstown, NY
  • NPI 1578825196
  NPD
• Jennifer Keedy, MD

  • Diagnostic Radiology Physician
  • Long Branch, NJ
  • NPI 1447265897
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1679619589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 NW 77TH AVE STE 100-200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142547",
            "telephone_number": "305-231-1115",
            "fax_number": "305-231-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 NW 77TH AVE STE 100-200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142547",
            "telephone_number": "305-231-1115",
            "fax_number": "305-231-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "ARRIAGA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-231-1115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "P03000029264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P03000029264",
            "identifier": "P03000029264",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakes Healthcare & Spa
• Lakes Healthcare & Wellness LLC
• Lakes Imaging Services Inc
• Lakes Medical Supply Inc
• Lakes Radiology Inc
• Lakes Rehab
• Lakes Rehabilitation Center Inc
• Lakes Solutions Supply LLC
• Natalie Caridad Lamelas, PHARMD
• Lance Cohen Sleep Medicine PL

• Diagnostic Radiology Physician in Miami Lakes, FL
• Providers in Miami Lakes, 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 Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.