NPIMap

Organization Active NPI

Lake Cardiovascular Diagnostic Center L.L.C

  • Cardiovascular Disease Physician
  • Lady Lake, FL
National Provider Identifier
1801135173
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C
Practice address
510 Highway 466
Suite 105
Lady Lake, FL 32159-6341
Phone
(352) 633-1966
NPI assigned
Feb 6, 2013
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIAC AND VASCULAR CONSULTANTS P.AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Shrikanth Upadya, M.D.NPI 1750492195
Title
Director
Phone
(352) 633-1966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

510 Highway 466
Suite 105
Lady Lake, FL 32159-6341

Mailing address

1050 Old Camp Rd
Ste 270
The Villages, FL 32162-1762
Phone (352) 633-1966

National Provider Directory

National Provider Directory
Part of
Cardiac and Vascular Consultants MD PA

Practitioners & affiliated clinicians

Practitioners 50

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 50

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1801135173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD",
            "address_2": "STE 270",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-633-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HIGHWAY 466",
            "address_2": "SUITE 105",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596341",
            "telephone_number": "352-633-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CARDIOVASCULAR DIAGNOSTIC CENTER L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIAC AND VASCULAR CONSULTANTS P.A",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "UPADYA",
        "authorized_official_first_name": "SHRIKANTH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-633-1966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.