Organization
LAKES RADIOLOGY INC
Active
Organization
LAKES RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ARRIAGA (PRESIDENT)
(305) 231-1115
Entity
Organization
Contact information
Practice address
14575 NW 77TH AVE STE 100-200, MIAMI LAKES, FL 33014-2547
(305) 231-1115
(305) 231-1116
Mailing address
14575 NW 77TH AVE STE 100-200, MIAMI LAKES, FL 33014-2547
(305) 231-1115
(305) 231-1116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC4328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001W3
PREFERRED CARE PARTNERS
FL
01
—
1044429
CARE PLUS
FL
05
—
119846600
—
FL
01
—
212587
MULTIPLAN
FL
01
—
222795
HEALTHEASE STAYWELL
FL
01
—
293269
AVMED
FL
01
—
3964
TOTAL HEALTH CHOICE
FL
01
—
4193759
GHI
FL
01
—
48625
NEIGHBORHOOD
FL
01
—
53845
HEALTHSUN
FL
01
—
5533957
CCN NETWORK
FL
01
—
7025163
SUNCOAST PHYSICIAN
FL
01
—
LRI 1000
DOCTORS CARE
FL
01
—
SG073549
VISTA
FL
01
—
V2807
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/26/2007
Last updated
12/15/2023
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