PORT ORANGE IMAGING CENTER
NPI 1093757486
Radiology - Diagnostic Radiology in Port Orange, FL

Q: What is East Central Florida Outpatient Imaging LLC's specialty?

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

Active since June 12, 2006CLIA 10D2238949 · Waiver

1195 DUNLAWTON AVE, PORT ORANGE, FL 32127(386) 763-5300(386) 322-1616 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Port Orange Imaging Center NPPES

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

PORT ORANGE IMAGING CENTER (NPI 1093757486) is a healthcare organization registered as a diagnostic radiology in Port Orange, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Al Falco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093757486

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameEAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC

Location Address1195 DUNLAWTON AVEPort Orange, FL 32127-4745

Mailing Address1673 Mason Ave, Suite 305Daytona Beach, FL 32117-5515 · (386) 274-7118 · Fax (386) 274-6173

Phone(386) 763-5300

Fax(386) 322-1616

Organization SubpartNo

Authorized OfficialAl FalcoCeo · (386) 274-7118

Enumeration DateJune 12, 2006

Last NPPES UpdateFebruary 8, 2010

✔ NPI 1093757486 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

1195 DUNLAWTON AVE, Port Orange, FL 32127

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Other Names 1

Doing Business AsPort Orange Imaging Center

Other Identifiers 2

Medicare ID-Type UnspecifiedK5690FL · Ecfoi

OtherV2885FL · Blue Cross

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 MULTIPLE SINGLE 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 10D2238949

Port Orange Imaging · Port Orange, FL

Active · expires Oct 6, 2027

CLIA Number10D2238949

Laboratory TypeOutpatient Imaging

Certificate Effective DateOctober 7, 2025

Certificate Expiration DateOctober 6, 2027

Laboratory DirectorJennifer Furry

Laboratory Phone(386) 763-5300

Laboratory LocationPort Orange Imaging1195 Dunlawton Ave, Port Orange, FL 32127

CLIA data matches this NPI record on: Address 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 East Central Florida Outpatient Imaging LLC's NPI number?

The NPI number for East Central Florida Outpatient Imaging LLC is 1093757486. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Port Orange Imaging Center.

Where is East Central Florida Outpatient Imaging LLC located?

East Central Florida Outpatient Imaging LLC is located at 1195 Dunlawton Ave, Port Orange, FL 32127. The listed phone number is (386) 763-5300.

What is East Central Florida Outpatient Imaging LLC's specialty?

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

Does East Central Florida Outpatient Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2238949) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Central Florida Outpatient Imaging LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list East Central Florida Outpatient Imaging LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Central Florida Outpatient Imaging LLC was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.