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RADIOLOGY ASSOCIATES PORT ORANGE WEST
NPI 1225606296
Radiology - Diagnostic Radiology in Port Orange, FL

Active since June 15, 2021CLIA 10D2121260 · Waiver
5440 S. WILLIAMSON BLVD, SUITE 102, PORT ORANGE, FL 32128(386) 274-7118(386) 274-6173 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Radiology Associates Port Orange West NPPES

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

RADIOLOGY ASSOCIATES PORT ORANGE WEST (NPI 1225606296) is a healthcare organization registered as a diagnostic radiology in Port Orange, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Al Falco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225606296
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Location Address5440 S. WILLIAMSON BLVD, SUITE 102Port Orange, FL 32128
Mailing AddressPo Box 678454Dallas, TX 75267-8454
Phone(386) 274-7118
Fax(386) 274-6173
Organization SubpartYes
Authorized OfficialAl FalcoCeo · (386) 274-7118
Enumeration DateJune 15, 2021
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1225606296 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.

5440 S. WILLIAMSON BLVD, Port Orange, FL 32128
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Other Names 1

Doing Business AsRadiology Associates Port Orange West

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

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).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 10D2121260

Radiology Associates Orange Park · Orange Park, FL
Active · expires Nov 1, 2026
CLIA Number10D2121260
Laboratory TypeOutpatient Imaging
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorMarcia L. Wilson
Laboratory Phone(386) 274-7118
Laboratory LocationRadiology Associates Orange Park2128 Park Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: 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 1225606296. It was assigned to this organization in the NPPES registry on June 15, 2021. The provider is doing business as Radiology Associates Port Orange West.

Where is East Central Florida Outpatient Imaging LLC located?

East Central Florida Outpatient Imaging LLC is located at 5440 S. Williamson Blvd Suite 102, Port Orange, FL 32128. The listed phone number is (386) 274-7118.

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 10D2121260) is associated with this NPI, valid through November 1, 2026. 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) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.