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TWIN LAKES IMAGING CENTER
NPI 1023040870
Radiology - Diagnostic Radiology in Daytona Beach, FL

Active since July 06, 2006CLIA 10D2209131 · Waiver
1890 LPGA BLVD, SUITE 110, DAYTONA BEACH, FL 32117(386) 274-7272(386) 274-5440 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Twin Lakes Imaging Center NPPES

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

TWIN LAKES IMAGING CENTER (NPI 1023040870) is a healthcare organization registered as a diagnostic radiology in Daytona Beach, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Al Falco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023040870
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Location Address1890 LPGA BLVD, SUITE 110Daytona Beach, FL 32117-7130
Mailing Address1673 Mason Ave, Suite 305Daytona Beach, FL 32117-5515 · (386) 274-7118 · Fax (386) 274-6173
Phone(386) 274-7272
Fax(386) 274-5440
Organization SubpartNo
Authorized OfficialAl FalcoCeo · (386) 274-7118
Enumeration DateJuly 6, 2006
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1023040870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
1890 LPGA BLVD, Daytona Beach, FL 32117
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Other Names 1

Doing Business AsTwin Lakes Imaging Center

Other Identifiers 2

OtherV2860FL · Blue Cross
Medicare ID-Type UnspecifiedK5690FL · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans.Insurance ›

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 10D2209131

East Centeral Florida Outpatient Imaging · Daytona Beach, FL
Active · expires Jan 11, 2027
CLIA Number10D2209131
Laboratory TypeOutpatient Imaging
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorMarcia L. Wilson
Laboratory Phone(386) 274-7118
Laboratory LocationEast Centeral Florida Outpatient Imaging1890 Lpga Blvd, Daytona Beach, FL 32117
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL PAUL HARRINGTON M.D.
Surgery (Vascular Surgery)
1890 LPGA BLVD, STE 250
DAYTONA BEACH, FL 32117
Volusia County (386) 274-0260
DR. SERGIO MARTIN ZAMORA MD
Plastic Surgery
1890 LPGA BLVD, SUITE 150
DAYTONA BEACH, FL 32117
Volusia County (386) 274-5557
STEPHEN JAMES CORTEZ M.D.
Obstetrics & Gynecology
1890 LPGA BLVD, STE. 160
DAYTONA BEACH, FL 32117
Volusia County (386) 252-4701
THOMAS GERALD STAVOY M.D.
Obstetrics & Gynecology
1890 LPGA BLVD, STE. 160
DAYTONA BEACH, FL 32117
Volusia County (386) 252-4701
HELEN C SAMAR CRNA
Nurse Anesthetist, Certified Registered
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1744
AMBULATORY ANESTHESIA PROVIDERS,LLC
Specialist
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1744
CAROLINE S DERENSIS CRNA
Nurse Anesthetist, Certified Registered
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Volusia County (386) 274-1744
DR. JAMES W RUST DPM
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD, SUITE 230
DAYTONA BEACH, FL 32117
Volusia County (386) 274-3336

Frequently Asked Questions

What is EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1023040870, enumerated as an "organization" on July 06, 2006.

Where is the provider located?

The provider is located at 1890 LPGA BLVD SUITE 110 DAYTONA BEACH, FL 32117 and the phone number is (386) 274-7272.

What is the provider's specialty?

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

What insurance does EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.