SOUTHSIDE OFFICE
NPI 1235401480
Radiology - Diagnostic Radiology in Lakeland, FL

Active since February 03, 2012
3021 LAKELAND HIGHLANDS RD, STE 3, LAKELAND, FL 33803(863) 688-2334(863) 577-1167 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2016, Feb 3, 2016, Jan 12, 2016 (3 updates tracked since 2016).

About Southside Office NPPES

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

SOUTHSIDE OFFICE (NPI 1235401480) is a healthcare organization registered as a diagnostic radiology in Lakeland, Florida and active in the NPI registry since February 2012. The organization lists Edward J Goodemote, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235401480
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameRADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Location Address3021 LAKELAND HIGHLANDS RD, STE 3Lakeland, FL 33803-4339
Mailing Address2125 Crystal Grove DrLakeland, FL 33801-6875 · (866) 804-7649 · Fax (614) 764-9147
Fax(863) 577-1167
Organization SubpartYes
Authorized OfficialEdward J GoodemoteCeo · (863) 577-0303
Enumeration DateFebruary 3, 2012
Last NPPES UpdateNovember 3, 20163 updates tracked since enumeration
✔ NPI 1235401480 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.
3021 LAKELAND HIGHLANDS RD, Lakeland, FL 33803

Other Names 1

Doing Business AsSouthside Office

Other Identifiers 1

OtherV0068FL · Bcbs Fl

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southside Office is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

80

Medicare enrollment records show 80 clinicians reassign Medicare billing to Southside Office, which bills Medicare for the services they deliver. Of these, 38 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology69
Interventional Radiology5
Nurse Practitioner2
Vascular Surgery2
Internal Medicine1
Pain Management1

Nearest to this location (20)

See all 80
Nurse Practitioner
NPI 1225589179
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1568435915
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1871721167
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1457342727
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1326208034
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1154531887
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Vascular Surgery
NPI 1811216732
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1285923292
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1801185897
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1265918098
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(800) 229-2273
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1336448562
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1427207968
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS0.9 mi
Diagnostic Radiology
NPI 1679956817
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1003013848
2125 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1023248648
2115 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1447439575
2115 CRYSTAL GROVE DR
Lakeland, FL 33801
(863) 688-2334
✔ PECOS✔ Accepts Medicare0.9 mi
Diagnostic Radiology
NPI 1477534527
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare4.0 mi
Diagnostic Radiology
NPI 1215928882
1305 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 688-2334
✔ PECOS✔ Accepts Medicare4.0 mi
Interventional Radiology
NPI 1104315316
1417 LAKELAND HILLS BLVD STE 102
Lakeland, FL 33805
(863) 577-0316
✔ PECOS4.1 mi
Interventional Radiology
NPI 1104145366
1600 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 680-7000
✔ PECOS✔ Accepts Medicare4.5 mi
See all 80 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1235401480. It was assigned to this organization in the NPPES registry on February 3, 2012. The provider is doing business as Southside Office.

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

Radiology & Imaging Specialists Of Lakeland, PA is located at 3021 Lakeland Highlands Rd Ste 3, Lakeland, FL 33803. 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 Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Radiology & Imaging Specialists Of Lakeland, PA enrolled in Medicare?

Yes. Radiology & Imaging Specialists Of Lakeland, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiology & Imaging Specialists Of Lakeland, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 80 clinicians in 6 Medicare specialties reassign their Medicare billing to Radiology & Imaging Specialists Of Lakeland, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (69), Interventional Radiology (5) and Nurse Practitioner (2). Of these, 38 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Radiology & Imaging Specialists Of Lakeland, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Radiology & Imaging Specialists Of Lakeland, PA 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 Radiology & Imaging Specialists Of Lakeland, PA was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.