RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA (NPI# 1649543992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649543992 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA |
| Other Organization Name | CENTRAL IMAGING CENTER |
| Practice Address |
1305 Lakeland Hills Blvd Lakeland FL 33805-4542 |
| Mailing Address |
2125 Crystal Grove Dr Lakeland FL 33801-6875 |
| Practice Telephone | 8636882334 |
| Practice Fax Number | 8635771167 |
| Mailing Telephone | 8668047649 |
| Mailing Fax Number | 6147649147 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | EDWARD J GOODEMOTE (CEO) |
| Authorized Official Telephone | 8635770303 |
| Authorized Official Credential | PHD, RN |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | V2699 | 01 |
| Other Name | Type Code |
|---|---|
| CENTRAL IMAGING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1669744801 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 206 W Alexander St, Ste 1, Plant City, FL 33563-7100 | 2012-02-03 |
| 1295342087 | Radiology & Imaging Specialists of Lakeland, Pa | Pain Medicine | 205 N Plant Ave, Plant City, FL 33563-4731 | 2020-09-25 |
| 1063032993 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2020-04-21 |
| 1073151064 | Radiology & Imaging Specialists of Lakeland, Pa | Surgery | 320 1st St N, Winter Haven, FL 33881-4113 | 2019-12-20 |
| 1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
| 1326404195 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 130 Pablo St, Lakeland, FL 33803-3818 | 2016-01-11 |
| 1750654000 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1558634816 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1235401480 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 3021 Lakeland Highlands Rd, Ste 3, Lakeland, FL 33803-4339 | 2012-02-03 |
| Street Address |
1305 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484745 | Lakeland Family Medicine | Clinic/Center | 1305 Lakeland Hills Blvd, Suite 101, Lakeland, FL 33805-4542 | 2005-08-10 |
| 1043702970 | Lawrence Duane Lee | Physician Assistant | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2018-06-06 |
| 1831633577 | William R Wiltshire | Radiology Practitioner Assistant | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2016-12-15 |
| 1558775874 | Tushar Champaklal Barot | Surgery | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2014-06-14 |
| 1427493931 | Tadeusz Ciszak | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2013-05-10 |
| 1770727646 | Lakeland Family Medicine | Preferred Provider Organization | 1305 Lakeland Hills Blvd, Lakeland, FL 33806 | 2009-04-23 |
| 1013178953 | Michael Larone Campbell | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805 | 2008-06-23 |
| 1811191661 | Magge Shree Lakshmi | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2007-06-14 |
| 1407894587 | J. David Moskovitz | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2006-06-02 |
| 1235110412 | John T. Fargher | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2005-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013280361 | Radiology & Imaging Specialists of Lakeland Pa | Radiology | 1121 Lakeland Hills Blvd, Lakeland, FL 33805-4655 | 2012-02-17 |
| 1427049931 | Radiology & Imaging Specialists of Lakeland | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2005-11-03 |
| 1063032993 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2020-04-21 |
| 1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
| 1487180659 | Central Florida Imaging of Lakeland LLC | Radiology | 1205 East Magnolia St, Suite 109, Lakeland, FL 33801 | 2017-05-10 |
| 1326404195 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 130 Pablo St, Lakeland, FL 33803-3818 | 2016-01-11 |
| 1427493931 | Tadeusz Ciszak | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2013-05-10 |
| 1750654000 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1558634816 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1235401480 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 3021 Lakeland Highlands Rd, Ste 3, Lakeland, FL 33803-4339 | 2012-02-03 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.