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RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
NPI 1063032993
Radiology - Vascular & Interventional Radiology in Lakeland, FL

Active since April 21, 2020CLIA Certified · 3 labs
1417 LAKELAND HILLS BLVD STE 102, LAKELAND, FL 33805(863) 688-2334 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2024, Apr 21, 2020 (2 updates tracked since 2020).

About Radiology & Imaging Specialists Of Lakeland, Pa NPPES

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

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA (NPI 1063032993) is a healthcare organization registered as a vascular & interventional radiology in Lakeland, Florida and active in the NPI registry since April 2020. The organization holds 3 active CLIA laboratory certificates and lists Michael B. Esposito, President, as its authorized official.

NPPES Registry Identity

NPI1063032993
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameRADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Location Address1417 LAKELAND HILLS BLVD STE 102Lakeland, FL 33805-3200
Mailing Address2115 Crystal Grove DrLakeland, FL 33801-6875 · (863) 577-0303 · Fax (863) 577-0301
Phone(863) 688-2334
Organization SubpartNo
Authorized OfficialMichael B. EspositoPresident · (863) 688-2334
Enumeration DateApril 21, 2020
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1063032993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1417 LAKELAND HILLS BLVD STE 102, Lakeland, FL 33805
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 3

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 10D2169267

Radiology And Imaging Specialists Of Lakeland PA · Lakeland, FL
Active · expires Jul 16, 2027
CLIA Number10D2169267
Laboratory TypeOp Imaging Ctr
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorMartha I. Lima
Laboratory Phone(863) 688-2334
Laboratory LocationRadiology And Imaging Specialists Of Lakeland PA130 Pablo St, Lakeland, FL 33803
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2167348

Radiology And Imaging Specialists Of Lakeland PA · Lakeland, FL
Active · expires Jun 5, 2027
CLIA Number10D2167348
Laboratory TypeOutpatient Imaging Ctr
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorMartha I. Lima
Laboratory Phone(863) 688-2334
Laboratory LocationRadiology And Imaging Specialists Of Lakeland PA1305 Lakeland Hills Blvd, Lakeland, FL 33805
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2167352

Radiology And Imaging Specialists Of Lakeland PA · Plant City, FL
Active · expires Jun 5, 2027
CLIA Number10D2167352
Laboratory TypeOutpatient Imaging Ctr
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorMartha I. Lima
Laboratory Phone(863) 688-2334
Laboratory LocationRadiology And Imaging Specialists Of Lakeland PA206 W Alexander St - Suite 1, Plant City, FL 33563
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALEXANDER MICHAEL SIDOR MD
Radiology (Vascular & Interventional Radiology)
1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 33805
Polk County (863) 577-0316
MAX MIRANDA PA
Physician Assistant
1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 33805
Polk County (863) 577-0316

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 & Imaging Specialists Of Lakeland, PA's NPI number?

The NPI number for Radiology & Imaging Specialists Of Lakeland, PA is 1063032993. It was assigned to this organization in the NPPES registry on April 21, 2020.

Where is Radiology & Imaging Specialists Of Lakeland, PA located?

Radiology & Imaging Specialists Of Lakeland, PA is located at 1417 Lakeland Hills Blvd Ste 102, Lakeland, FL 33805. The listed phone number is (863) 688-2334.

What is Radiology & Imaging Specialists Of Lakeland, PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Radiology & Imaging Specialists Of Lakeland, PA hold CLIA laboratory certificates?

Yes. 3 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 & Imaging Specialists Of Lakeland, PA was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.