Organization
MRI ASSOCIATES OF LAKELAND, LLC
Active
Other names
Highland MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (CAO)
(727) 787-6900
Entity
Organization
Contact information
Practice address
2946 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4379
(863) 510-5944
(863) 510-5939
Mailing address
2946 LAKELAND HIGHLANDS RD, UNIT 12, LAKELAND, FL 33803-4379
(863) 510-5944
(863) 510-5939
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
HCC8851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125421400
—
FL
01
—
V004B
BCBS
FL
Enumeration date
06/21/2010
Last updated
05/07/2025
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