Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Active
Other names
AdventHealth Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
RACHNA ATWAL (COO/VP)
(407) 200-4658
Entity
Organization
Contact information
Practice address
960 RINEHART RD STE 1000, LAKE MARY, FL 32746-1561
(855) 241-2455
Mailing address
900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714-1502
(407) 200-2355
(407) 767-0608
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265644200
—
FL
01
—
CK2813
RR MEDIARE - GROUP NUMBER
—
01
—
V2517
BCBS LK MARY
FL
Enumeration date
02/23/2006
Last updated
11/08/2024
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