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

ADVENTHEALTH IMAGING CENTER CLERMONT
NPI 1386316602
Radiology - Diagnostic Radiology in Clermont, FL

Active since October 05, 2021CLIA Certified · 2 labs
1919 E HIGHWAY 50 STE 101, CLERMONT, FL 34711(352) 717-3738(352) 717-3739 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2021, Oct 5, 2021 (2 updates tracked since 2021).

About Adventhealth Imaging Center Clermont NPPES

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

ADVENTHEALTH IMAGING CENTER CLERMONT (NPI 1386316602) is a healthcare organization registered as a diagnostic radiology in Clermont, Florida and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Michael Mazeres, Vice President, as its authorized official.

NPPES Registry Identity

NPI1386316602
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Location Address1919 E HIGHWAY 50 STE 101Clermont, FL 34711-1975
Mailing Address235 E Princeton St Ste 100Orlando, FL 32804-5554 · (407) 303-1414
Phone(352) 717-3738
Fax(352) 717-3739
Organization SubpartNo
Authorized OfficialMichael MazeresVice President · (407) 357-1912
Enumeration DateOctober 5, 2021
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1386316602 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.

1919 E HIGHWAY 50 STE 101, Clermont, FL 34711
Open in Google Maps ↗

Other Names 1

Doing Business AsAdventhealth Imaging Center Clermont

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 2

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 10D2240392

Adventhealth Imaging Center Clermont · Clermont, FL
Active · expires Oct 18, 2027
CLIA Number10D2240392
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorTimothy E. Farley
Laboratory Phone(352) 717-3738
Laboratory LocationAdventhealth Imaging Center Clermont1919 E Hwy 50 Ste 101, Clermont, FL 34711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1037898

Adventhealth Imaging Center Innovation Tower · Orlando, FL
Active · expires Sep 27, 2027
CLIA Number10D1037898
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorTimothy E. Farley
Laboratory Phone(407) 303-1414
Laboratory LocationAdventhealth Imaging Center Innovation Tower265 E Rollins Street Suite 1000, Orlando, FL 32804
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 Florida Radiology Imaging At Lake Mary, LLC's NPI number?

The NPI number for Florida Radiology Imaging At Lake Mary, LLC is 1386316602. It was assigned to this organization in the NPPES registry on October 5, 2021. The provider is doing business as Adventhealth Imaging Center Clermont.

Where is Florida Radiology Imaging At Lake Mary, LLC located?

Florida Radiology Imaging At Lake Mary, LLC is located at 1919 E Highway 50 Ste 101, Clermont, FL 34711. The listed phone number is (352) 717-3738.

What is Florida Radiology Imaging At Lake Mary, LLC's specialty?

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

Does Florida Radiology Imaging At Lake Mary, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Florida Radiology Imaging At Lake Mary, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Radiology Imaging At Lake Mary, 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 Florida Radiology Imaging At Lake Mary, LLC was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.