ADVENTHEALTH IMAGING CENTER PORT ORANGE
NPI 1316673668
Clinic/Center - Radiology in Port Orange, FL
About Adventhealth Imaging Center Port Orange NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVENTHEALTH IMAGING CENTER PORT ORANGE (NPI 1316673668) is a healthcare organization registered as a radiology in Port Orange, Florida and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Michael Mazeres, Vp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D2269619
Adventhealth Imaging Center Port Orange · Port Orange, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ORANGE, FL 32128
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 Adventhealth Imaging Center Port Orange's NPI number?
The NPI number for Adventhealth Imaging Center Port Orange is 1316673668. It was assigned to this organization in the NPPES registry on July 28, 2022.
Where is Adventhealth Imaging Center Port Orange located?
Adventhealth Imaging Center Port Orange is located at 5821 S. Williamson Blvd Suite 101, Port Orange, FL 32128. The listed phone number is (386) 231-2951.
What is Adventhealth Imaging Center Port Orange's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Does Adventhealth Imaging Center Port Orange hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2269619) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Adventhealth Imaging Center Port Orange accept?
Health plans from Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Adventhealth Imaging Center Port Orange 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 Adventhealth Imaging Center Port Orange was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Adventhealth Imaging Center Port Orange · NPI 1316673668
Radiology organization in Port Orange, Florida. Organization record, active in the CMS NPPES registry since July 28, 2022.
## Identity
- **NPI:** 1316673668 (Entity type: Organization)
- **Enumerated:** July 28, 2022
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** Yes (part of Florida Radiology Imaging At Lake Mary, Llc)
- **Authorized official:** Michael Mazeres, VP/CFO
## Practice location
- **Address:** 5821 S. WILLIAMSON BLVD, SUITE 101, Port Orange, FL 32128
- **Phone:** (386) 231-2951 · **Fax:** (386) 231-2952
## Record status
- **NPPES last updated:** July 28, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316673668) · Data from the CMS NPPES public registry.