Marc Imaging Group LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MARC IMAGING GROUP LLC

Practice address

15528 W Colonial Dr Ste a
Winter Garden, FL 34787-9567

Phone

(407) 674-9600

Fax

(407) 557-9404

NPI assigned

Nov 21, 2024

Last updated

Nov 21, 2024By 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. Carl Lee Erickson, RT (R)(MR)

Title

President

Phone

(407) 312-5384

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1689499865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155528 WEST COLONIAL DRIVE",
            "address_2": "BUILDING F/SUITE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-674-9600",
            "fax_number": "407-557-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15528 W COLONIAL DR STE A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879567",
            "telephone_number": "407-674-9600",
            "fax_number": "407-557-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC IMAGING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-312-5384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT (R)(MR)"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Manion
• Victoria Mann
• Eva Adel Mansour
• Marina Mansour
• Nicole Renee Manvel Walls, LMT
• Christopher Richard March, DO
• Angel Marcial
• Lisa Marie Margavage, DC
• Janine Marie Margewicz, L.AC
• Hilda Ruth Marimon

• Magnetic Resonance Imaging (MRI) Clinic/Center in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.