Organization Active NPI

Happy Heart Imaging Service

  • Radiology Clinic/Center
  • Summerfield, FL
National Provider Identifier
1730404542
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HAPPY HEART IMAGING SERVICE
Practice address
17820 SE 109TH Ave
Summerfield, FL 34491-8968
Phone
(352) 693-2340
Fax
(352) 693-2345
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Joyce Ann Ellis, CCPT
Title
Owner
Phone
(352) 379-9395

Specialties & licenses 1

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

Addresses

Primary practice location

17820 SE 109TH Ave
Summerfield, FL 34491-8968

Mailing address

5131 SW 62ND Ave
Gainesville, FL 32608-4848
Phone (352) 379-9395

National Provider Directory

National Provider Directory

Locations

17820 SE 109th Ave
Summerfield, FL 34491
Phone (352) 307-1753

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1730404542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 SW 62ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084848",
            "telephone_number": "352-379-9395",
            "fax_number": "352-375-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-693-2340",
            "fax_number": "352-693-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HEART IMAGING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-379-9395",
        "authorized_official_credential": "CCPT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.