ADVENTHEALTH IMAGING LAKE NONA
NPI 1003208620
Radiology - Diagnostic Radiology in Orlando, FL
About Adventhealth Imaging Lake Nona NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTHEALTH IMAGING LAKE NONA (NPI 1003208620) is a healthcare organization registered as a diagnostic radiology in Orlando, Florida and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Warren Wylie, Vp Radiology Enterprise, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adventhealth Imaging Lake Nona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
427Medicare enrollment records show 427 clinicians reassign Medicare billing to Adventhealth Imaging Lake Nona, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 427Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2094029
Adventhealth Imaging Lake Nona · Orlando, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Florida Radiology Imaging At Lake Mary, LLC's NPI number?
The NPI number for Florida Radiology Imaging At Lake Mary, LLC is 1003208620. It was assigned to this organization in the NPPES registry on February 19, 2015. The provider is doing business as Adventhealth Imaging Lake Nona.
Where is Florida Radiology Imaging At Lake Mary, LLC located?
Florida Radiology Imaging At Lake Mary, LLC is located at 9975 Tavistock Lakes Blvd Suite 120, Orlando, FL 32827. The listed phone number is (407) 200-2865.
What is Florida Radiology Imaging At Lake Mary, LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Florida Radiology Imaging At Lake Mary, LLC enrolled in Medicare?
Yes. Florida Radiology Imaging At Lake Mary, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Florida Radiology Imaging At Lake Mary, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 427 clinicians in 10 Medicare specialties reassign their Medicare billing to Florida Radiology Imaging At Lake Mary, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (384), Interventional Radiology (12) and Radiation Oncology (10). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Florida Radiology Imaging At Lake Mary, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2094029) is associated with this NPI, valid through April 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Florida Radiology Imaging At Lake Mary, LLC was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Adventhealth Imaging Lake Nona · NPI 1003208620
Diagnostic Radiology organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since February 19, 2015.
## Identity
- **NPI:** 1003208620 (Entity type: Organization)
- **Enumerated:** February 19, 2015
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Legal business name:** Florida Radiology Imaging At Lake Mary, Llc
- **Organization subpart:** No
- **Authorized official:** Warren Wylie, VP RADIOLOGY ENTERPRISE
## Practice location
- **Address:** 9975 TAVISTOCK LAKES BLVD, SUITE 120, Orlando, FL 32827-7559
- **Phone:** (407) 200-2865
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 427 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (384), Interventional Radiology (12), Radiation Oncology (10); [full list](https://npiprofile.com/npi/1003208620/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2019
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1003208620) · Data from the CMS NPPES public registry.