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ADVANCE TECHNOLOGICAL RADIOLOGY, PA
NPI 1396419289
Radiology - Diagnostic Radiology in Lake Wales, FL

Active since August 04, 2021
24040 US HIGHWAY 27, LAKE WALES, FL 33859(863) 456-2200(863) 223-0858 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, Aug 4, 2021 (2 updates tracked since 2021).

About Advance Technological Radiology, Pa NPPES

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

ADVANCE TECHNOLOGICAL RADIOLOGY, PA (NPI 1396419289) is a healthcare organization registered as a diagnostic radiology in Lake Wales, Florida and active in the NPI registry since August 2021. The organization lists Anthony T Rosa, Owner, as its authorized official.

NPPES Registry Identity

NPI1396419289
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameADVANCE TECHNOLOGICAL RADIOLOGY, PA
Location Address24040 US HIGHWAY 27Lake Wales, FL 33859-7813
Mailing AddressPo Box 2159Haines City, FL 33845-2159 · (863) 421-9393 · Fax (863) 419-8774
Phone(863) 456-2200
Fax(863) 223-0858
Organization SubpartNo
Authorized OfficialAnthony T RosaOwner · (863) 421-9393
Enumeration DateAugust 4, 2021
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1396419289 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.
24040 US HIGHWAY 27, Lake Wales, FL 33859
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Other Identifiers 1

Medicaid255768101FL

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

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 Advance Technological Radiology, PA's NPI number?

The NPI number for Advance Technological Radiology, PA is 1396419289. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Advance Technological Radiology, PA located?

Advance Technological Radiology, PA is located at 24040 Us Highway 27, Lake Wales, FL 33859. The listed phone number is (863) 456-2200.

What is Advance Technological Radiology, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Advance Technological Radiology, PA was last updated on August 10, 2021. 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.