ADVENTHEALTH IMAGING LAKE NONA
NPI 1003208620
Radiology - Diagnostic Radiology in Orlando, FL
NPI Status: Active since February 19, 2015
Contact Information
9975 TAVISTOCK LAKES BLVD
SUITE 120
ORLANDO, FL
ZIP 32827
Phone: (407) 200-2865
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 10D2094029
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-07-2027
About ADVENTHEALTH IMAGING LAKE NONA
This page provides the complete NPI Profile along with additional information for Adventhealth Imaging Lake Nona, a provider established in Orlando, Florida operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1003208620 assigned on February 2015. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Adventhealth Imaging Lake Nona. The authorized official of this NPI record is Warren Wylie (Vp Radiology Enterprise)
- NPI
- 1003208620
- Provider Legal Name
- FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
- Other Organization Name
- ADVENTHEALTH IMAGING LAKE NONA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9975 TAVISTOCK LAKES BLVD SUITE 120 ORLANDO, FL 32827
- Location Phone
- (407) 200-2865
- Mailing Address
- 9975 TAVISTOCK LAKES BLVD SUITE 120 ORLANDO, FL 32827
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-19-2015
- Last Update Date
- 02-11-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2094029
- Facility Type
- Physician Office
- Certificate Effective Date
- April 08, 2025
- Certificate Expiration Date
- April 07, 2027
- Laboratory Director
- TIMOTHY E. FARLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adventhealth Imaging Lake Nona to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003208620, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
ORLANDO, FL 32827
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003208620, enumerated as an "organization" on February 19, 2015.
The provider is located at 9975 TAVISTOCK LAKES BLVD SUITE 120 ORLANDO, FL 32827 and the phone number is (407) 200-2865.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.