Organization Active NPI

Altamonte Springs Diagnostic Imaging Inc

Doing business as Mid Florida Imaging

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1861598310
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC4170 Issued in FL
Legal business name
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Doing business as
Mid Florida Imaging
Practice address
6342 W. Colonial Dr
Suite C
Orlando, FL 32818-7859
Phone
(407) 523-0411
Fax
(407) 523-0412
NPI assigned
Sep 15, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Ronald I Landau, M.D.
Title
Owner
Phone
(407) 482-5253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU
Diagnostic Radiology Physician 2085R0202X HCC4170 FL Primary

Addresses

Primary practice location

6342 W. Colonial Dr
Suite C
Orlando, FL 32818-7859

Mailing address

1150 S. Semoran Blvd
Suite C
Orlando, FL 32807-1424
Phone (407) 482-5253

Other identifiers 1

IdentifierTypeStateIssuer
V2788OtherFLBCBS PROVIDER NUMBER

Other names 1

  • Mid Florida Imaging Doing business as

National Provider Directory

National Provider Directory
Part of
Premier Medical Imaging

Locations

6342 W Colonial Dr
Ste C
Orlando, FL 32818
Phone (407) 523-0411

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1861598310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S. SEMORAN BLVD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071424",
            "telephone_number": "407-482-5253",
            "fax_number": "407-482-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 W. COLONIAL DR",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328187859",
            "telephone_number": "407-523-0411",
            "fax_number": "407-523-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "LANDAU",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-482-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "V2788",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Florida Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.