Organization
PHYSICIANS IMAGING -- LAKE CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS J GERTH MD (CEO)
(352) 383-8800
Entity
Organization
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 487-3970
(386) 487-3972
Mailing address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 487-3970
(386) 487-3972
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC7889
FL
Other
Enumeration date
08/08/2007
Last updated
04/27/2022
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