American Health Imaging of Florida LLC
Organization Active NPI Radiology Clinic/Center · Lake Mary, FL
NPI 1689650210 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1689650210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- AMERICAN HEALTH IMAGING OF FLORIDA LLC
- Practice address
- 610 Crescent Executive CT
Suite 100
Lake Mary, FL 32746-2110 - Phone
- (407) 804-1500
- NPI assigned
- Dec 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Scott Warren Arant
- Title
- Ceo
- Phone
- (404) 296-5887
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
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
- Premier Advanced Imaging of Lake Mary LLC
Other providers in Lake Mary, FL
- Altruist Care, LLC
- Giselle Mercy Alvarado
- Victor Noel Alvarado
- Marilin Alvarez
- Amen Care Inc
- Diptesh Amin
- Esther E Amune
- Torie D. Amza
- Jocelyn S Ancheta
- Sharene E. Anderer
All providers in Lake Mary, FL · Radiology Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.