STANDUP MRI OF BREVARD
NPI 1225592041
Radiology - Diagnostic Radiology in Melbourne, FL

Active since January 25, 2019CLIA 10D2173397 · Waiver
STANDUP MRI OF BREVRD, 6023 FARCENDA PLACE - SUITE 101, MELBOURNE, FL 32940(321) 409-9990 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Apr 7, 2022, Jan 9, 2020 and 2 more (5 updates tracked since 2019).

About Standup Mri Of Brevard NPPES

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

STANDUP MRI OF BREVARD (NPI 1225592041) is a healthcare organization registered as a diagnostic radiology in Melbourne, Florida and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Lisa Faucett, Manger, as its authorized official.

NPPES Registry Identity

NPI1225592041
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCENTRAL FLORIDA RADIOLOGY LLC
Location AddressSTANDUP MRI OF BREVRD, 6023 FARCENDA PLACE - SUITE 101Melbourne, FL 32940-7340
Mailing AddressPo Box 411145Melbourne, FL 32941-1145 · (321) 831-1111 · Fax (321) 831-1212
Organization SubpartNo
Authorized OfficialLisa FaucettManger · (321) 409-9990
Enumeration DateJanuary 25, 2019
Last NPPES UpdateApril 23, 20245 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1225592041 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.
STANDUP MRI OF BREVRD, Melbourne, FL 32940

Other Names 1

Doing Business AsStandup Mri Of Brevard

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

Accepted 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 10D2173397

Central Florida Radiology, LLC · Melbourne, FL
Active · expires Oct 10, 2027
CLIA Number10D2173397
Laboratory TypePractitioner Other
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorThomas H. Magee
Laboratory Phone(321) 831-1111
Laboratory LocationCentral Florida Radiology, LLC6023 Farcenda Place, Ste 101, Melbourne, FL 32940
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 Central Florida Radiology LLC's NPI number?

The NPI number for Central Florida Radiology LLC is 1225592041. It was assigned to this organization in the NPPES registry on January 25, 2019. The provider is doing business as Standup Mri Of Brevard.

Where is Central Florida Radiology LLC located?

Central Florida Radiology LLC is located at Standup Mri Of Brevrd 6023 Farcenda Place - Suite 101, Melbourne, FL 32940. The listed phone number is (321) 409-9990.

What is Central Florida Radiology LLC's specialty?

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

Does Central Florida Radiology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2173397) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Florida Radiology LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, UnitedHealthcare and Wellpoint list Central Florida Radiology 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 Central Florida Radiology LLC was last updated on April 23, 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.