NPIMap

Organization Active NPI

American Health Imaging of Florida LLC

Doing business as Premier Advanced Imaging of Lake Mary LLC

  • Radiology Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1689650210
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
AMERICAN HEALTH IMAGING OF FLORIDA LLC
Doing business as
Premier Advanced Imaging of Lake Mary LLC
Practice address
610 Crescent Executive CT
Suite 100
Lake Mary, FL 32746-2110
Phone
(407) 804-1500
NPI assigned
Dec 15, 2005
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Scott Warren Arant
Title
Ceo
Phone
(404) 296-5887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

610 Crescent Executive CT
Suite 100
Lake Mary, FL 32746-2110

Mailing address

1800 Century Blvd NE
Suite 1400
Atlanta, GA 30345-3202
Phone (404) 296-5887

Other names 1

  • Premier Advanced Imaging of Lake Mary LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000963 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4981500642 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tallahassee, FL

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1689650210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CENTURY BLVD NE",
            "address_2": "SUITE 1400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453202",
            "telephone_number": "404-296-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CRESCENT EXECUTIVE CT",
            "address_2": "SUITE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462110",
            "telephone_number": "407-804-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH IMAGING OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "ARANT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-296-5887"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Advanced Imaging of Lake Mary LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.