Organization
SAND LAKE IMAGING LLLP
Active
Organization
SAND LAKE IMAGING LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C HOLMAN (SR. DIRECTOR, RCM)
(866) 674-7933
Entity
Organization
Contact information
Practice address
9350 TURKEY LAKE RD, ORLANDO, FL 32819-7319
(407) 363-2772
(407) 745-2844
Mailing address
PO BOX 161527, ALTAMONTE SPRINGS, FL 32716-1527
(866) 674-7933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD2395
RAILROAD MEDICARE
—
01
—
V2904
BC BS OF FLORIDA
FL
Enumeration date
11/19/2005
Last updated
01/14/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up