NPIMap

Organization Active NPI

Radiology Imaging Specialists LLC

  • Diagnostic Radiology Physician
  • Leesburg, FL
National Provider Identifier
1689236275
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY IMAGING SPECIALISTS LLC
Practice address
616 N Palmetto St
Leesburg, FL 34748-4417
Phone
(352) 274-9565
Fax
(352) 342-9038
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Dr. Chintan Desai, MD
Title
Provider / Owner
Phone
(352) 274-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

616 N Palmetto St
Leesburg, FL 34748-4417

Mailing address

11050 Lake Underhill Rd # 865394
Orlando, FL 32825-5016
Phone (352) 274-9565

Other identifiers 1

IdentifierTypeStateIssuer
INPROCESSMedicaidFL

Other names 1

  • CAREFIRST IMAGING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carefirst Imaging8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1689236275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 LAKE UNDERHILL RD # 865394",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255016",
            "telephone_number": "352-274-9565",
            "fax_number": "352-342-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N PALMETTO ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484417",
            "telephone_number": "352-274-9565",
            "fax_number": "352-342-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY IMAGING SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "CHINTAN",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "352-274-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "INPROCESS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREFIRST IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.