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Organization
LAD IMAGING LLC
Active
Organization
LAD IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVELLE R HARDIN (CREDENTIALING COORDINATOR)
(615) 344-8203
Entity
Organization
Contact information
Practice address
1565 SAXON BLVD, SUITE 101, DELTONA, FL 32725
(386) 532-0094
(386) 532-0451
Mailing address
1565 SAXON BLVD, SUITE 101, DELTONA, FL 32725
(386) 532-0094
(386) 532-0451
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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