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RADIOLOGY REGIONAL CENTER, PA
NPI 1013683838
Radiology - Diagnostic Radiology in Port Charlotte, FL

Active since August 20, 2021CLIA Certified · 11 labs
18300 MURDOCK CIR BLDG 15, PORT CHARLOTTE, FL 33948(941) 255-7901(941) 255-7910 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Aug 20, 2021 (2 updates tracked since 2021).

About Radiology Regional Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIOLOGY REGIONAL CENTER, PA (NPI 1013683838) is a healthcare organization registered as a diagnostic radiology in Port Charlotte, Florida and active in the NPI registry since August 2021. The organization holds 11 active CLIA laboratory certificates and lists Randolph Knific, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013683838
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRADIOLOGY REGIONAL CENTER, PA
Location Address18300 MURDOCK CIR BLDG 15Port Charlotte, FL 33948-1117
Mailing Address3660 BroadwayFort Myers, FL 33901-8005 · (239) 936-2316 · Fax (239) 834-6106
Phone(941) 255-7901
Fax(941) 255-7910
Organization SubpartNo
Authorized OfficialRandolph KnificCeo · (239) 936-2316
Enumeration DateAugust 20, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1013683838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
18300 MURDOCK CIR BLDG 15, Port Charlotte, FL 33948
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Other Identifiers 1

Medicaid054636419FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 12

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 10D2114183

Radiology Regional Center · Lehigh Acres, FL
Active · expires Jun 7, 2028
CLIA Number10D2114183
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJonelle Nordstrom
Laboratory Phone(239) 936-2316
Laboratory LocationRadiology Regional Center1110 Lee Blvd, Lehigh Acres, FL 33936
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2114184

Radiology Regional Center · Naples, FL
Active · expires Jun 7, 2028
CLIA Number10D2114184
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJonelle Nordstrom
Laboratory Phone(239) 936-2316
Laboratory LocationRadiology Regional Center700 Goodlette Rd, Naples, FL 34102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2114187

Radiology Regional Center · Fort Myers, FL
Active · expires Jun 7, 2028
CLIA Number10D2114187
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJonelle Nordstrom
Laboratory Phone(239) 936-2316
Laboratory LocationRadiology Regional Center6100 Winkler Rd, Fort Myers, FL 33919
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2114189

Radiology Regional Center · Bonita Springs, FL
Active · expires Jun 7, 2028
CLIA Number10D2114189
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJonelle Nordstrom
Laboratory Phone(239) 936-2316
Laboratory LocationRadiology Regional Center9776 Bonita Beach Rd, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2114193

Radiology Regional Center · Fort Myers, FL
Active · expires Jun 7, 2028
CLIA Number10D2114193
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJonelle Nordstrom
Laboratory Phone(239) 936-2316
Laboratory LocationRadiology Regional Center6140 Winkler Rd Ste A, Fort Myers, FL 33919
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2114198

Radiology Regional Center · Cape Coral, FL
Active · expires Jun 7, 2028
CLIA Number10D2114198
Laboratory TypePractitioner Other
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJonelle Nordstrom
Laboratory Phone(239) 936-2316
Laboratory LocationRadiology Regional Center1708 Cape Coral Pkwy - Ste 3, Cape Coral, FL 33914
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Radiology Regional Center, PA's NPI number?

The NPI number for Radiology Regional Center, PA is 1013683838. It was assigned to this organization in the NPPES registry on August 20, 2021.

Where is Radiology Regional Center, PA located?

Radiology Regional Center, PA is located at 18300 Murdock Cir Bldg 15, Port Charlotte, FL 33948. The listed phone number is (941) 255-7901.

What is Radiology Regional Center, PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Radiology Regional Center, PA hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Radiology Regional Center, PA was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.