Radiology Associates of Lake City PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY ASSOCIATES OF LAKE CITY PA

Practice address

183 NW Gwen Lake Ave
Lake City, FL 32055-3711

Phone

(386) 752-9144

Fax

(386) 752-5881

NPI assigned

Jul 11, 2006

Last updated

Sep 18, 2007By 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

Ricardo Bedoya-Garcia, M.D.NPI 1497728356

Title

President

Phone

(386) 752-9144

Specialties & licenses 1

Addresses

Other names 1

• Ricardo Bedoya, M.D.-Sergio Lagman,M.D.,P.A. Former legal business name

Practitioners 3

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.

• Ricardo Bedoya-Garcia, MD

  • Diagnostic Radiology Physician
  • Lake City, FL
  • NPI 1497728356
  NPD (past) Authorized official
• Sergio M Lagman, M.D.

  • Diagnostic Radiology Physician
  • Macclenny, FL
  • NPI 1598757098
  NPD (past)
• Ramon Perez, MD

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1720068075
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1750315081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320560691",
            "telephone_number": "386-752-9144",
            "fax_number": "386-752-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 NW GWEN LAKE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553711",
            "telephone_number": "386-752-9144",
            "fax_number": "386-752-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF LAKE CITY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "BEDOYA-GARCIA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-752-9144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ricardo Bedoya, M.D.-Sergio Lagman,M.D.,P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Carlos Quintero, M.D.
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• Beth Ann M Raga
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• Marie Raime, M.D
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• Diagnostic Radiology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.