Lake Medical Imaging And Breast Center At The Villages Llc

LBN: Lake Medical Imaging And Breast Center At The Villages Llc
Lake Medical Imaging And Breast Center At The Villages Llc is an health care organization with primary practice located at 801 E Dixie Ave Ste 104 , Leesburg FL 34748-7601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Lake Medical Imaging And Breast Center At The Villages Llc can be contacted via phone (352) 787-5858, or through Floyd, Josh L via phone (352) 365-2583.

Contact Information

Primary practice address
801 E Dixie Ave Ste 104 Leesburg FL 34748-7601
Fax: (352) 787-4655
Website:
Authorized official contact:
Name: Floyd, Josh L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1770541633
LBN Legal business name Lake Medical Imaging And Breast Center At The Villages Llc
DBA Doing business as
Authorized official Floyd, Josh L
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jun 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770541633 NPPES
Florida MEDICAID 101183202

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