Advanced Imaging Center of Clermont, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC4848 Issued in FL

Legal business name

ADVANCED IMAGING CENTER OF CLERMONT, INC.

Practice address

262 Mohawk Rd
Clermont, FL 34715-7433

Phone

(352) 243-2111

Fax

(352) 243-2112

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Roman Dubsky

Title

President

Phone

(407) 927-1147

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831200211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347157433",
            "telephone_number": "352-243-2111",
            "fax_number": "352-243-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347157433",
            "telephone_number": "352-243-2111",
            "fax_number": "352-243-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING CENTER OF CLERMONT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBSKY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-927-1147",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC4848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Clermont, FL
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.