1. Home
  2. Directory
  3. Florida
  4. Leesburg
  5. Radiology
  6. NPI Profile

LAKE MEDICAL IMAGING
NPI 1184689127
Radiology - Diagnostic Radiology in Leesburg, FL

Active since April 20, 2006CLIA 10D2055120 · Waiver
600 E DIXIE AVE, LEESBURG, FL 34748(352) 787-5858 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2021, Nov 5, 2020, Feb 24, 2016 (3 updates tracked since 2016).

About Lake Medical Imaging NPPES

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

LAKE MEDICAL IMAGING (NPI 1184689127) is a healthcare organization registered as a diagnostic radiology in Leesburg, Florida and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 5, 2027, maintains a secondary practice location in Leesburg, and lists Josh L Floyd, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1184689127
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C
Location Address600 E DIXIE AVELeesburg, FL 34748-5925
Mailing Address734 N 3rd St, Suite 115Leesburg, FL 34748-5285 · (352) 365-2583 · Fax (352) 728-6749
Phone(352) 787-5858
Organization SubpartNo
Authorized OfficialJosh L FloydDirector Of Risk Management · (352) 365-2583
Enumeration DateApril 20, 2006
Last NPPES UpdateJune 23, 20213 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1184689127 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.
600 E DIXIE AVE, Leesburg, FL 34748
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Medical Imaging

Secondary Practice Location 1

Location 1801 E Dixie Ave, Suite 104Leesburg, FL 34748-7601 · Phone (352) 365-2583 · Fax (352) 728-6749

Other Identifiers 3

Medicaid100952301FL
Medicaid43346200FL
OtherK1941FL · Medicare

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

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 10D2055120

Lake Medical Imaging And Vascular Institute · Leesburg, FL
Active · expires Mar 5, 2027
CLIA Number10D2055120
Laboratory TypeImaging Center
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorPatricia Edmondson
Laboratory Phone(352) 365-2583
Laboratory LocationLake Medical Imaging And Vascular Institute801 E Dixie Ave Ste 104, Leesburg, FL 34748
CLIA data matches this NPI record on: Address Name 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.

MR. JARED SAINT JOHN APRN
Nurse Practitioner (Family)
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 273-8610
PREETI SHETH HAWALDAR MD
Anesthesiology
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-1062
LAKE COUNTY ANESTHESIA ASSOCIATES PA
Anesthesiology (Pain Medicine)
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 867-8898
SCOTT D. DOLL APRN
Nurse Practitioner (Family)
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5762
BOGDAN GOGIOIU MD
Internal Medicine
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5762
DR. ROBERT BERNARD MD
Physician Assistant
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (516) 444-1494
VICTORIA CATHERINE GREENWELL
Nurse Anesthetist, Certified Registered
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5762
DR. DANA N COWLES DO
Emergency Medicine
600 E DIXIE AVE
LEESBURG, FL 34748
Lake County (352) 323-5200

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 Associates Of Central Florida L L C's NPI number?

The NPI number for Radiology Associates Of Central Florida L L C is 1184689127. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as Lake Medical Imaging.

Where is Radiology Associates Of Central Florida L L C located?

Radiology Associates Of Central Florida L L C is located at 600 E Dixie Ave, Leesburg, FL 34748. The listed phone number is (352) 787-5858.

What is Radiology Associates Of Central Florida L L C's specialty?

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

Does Radiology Associates Of Central Florida L L C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2055120) is associated with this NPI, valid through March 5, 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 Radiology Associates Of Central Florida L L C was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.