LAKESIDE OPEN MRI OF TAVARES
NPI 1467491993
Clinic/Center - Radiology in Tavares, FL

Active since June 06, 2006
1879 NIGHTINGALE LN, SUITE A-1, TAVARES, FL 32778(352) 742-9211(352) 742-9406 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lakeside Open Mri Of Tavares NPPES

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

LAKESIDE OPEN MRI OF TAVARES (NPI 1467491993) is a healthcare organization registered as a radiology in Tavares, Florida and active in the NPI registry since June 2006. The organization lists Shaun P Woodburn, President, as its authorized official.

NPPES Registry Identity

NPI1467491993
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameOPEN MRI OF ORLANDO INC
Location Address1879 NIGHTINGALE LN, SUITE A-1Tavares, FL 32778-4363
Mailing Address1879 Nightingale Ln, Suite A-1Tavares, FL 32778-4363 · (352) 742-9211 · Fax (352) 742-9406
Fax(352) 742-9406
Organization SubpartNo
Authorized OfficialShaun P WoodburnPresident · (352) 742-9211
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1467491993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License Licensed in FL · HCC5152
1879 NIGHTINGALE LN, Tavares, FL 32778

Other Names 1

Doing Business AsLakeside Open Mri Of Tavares

Other Identifiers 1

OtherV2544FL · Blue Cross And Blue Sheil

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1879 NIGHTINGALE LN
TAVARES, FL 32778
Clinic/Center (Ambulatory Surgical)
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Internal Medicine (Gastroenterology)
1879 NIGHTINGALE LN, SUITE C-2
TAVARES, FL 32778
Nurse Practitioner
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778
Surgery
1879 NIGHTINGALE LN, STE B4
TAVARES, FL 32778
Internal Medicine
1879 NIGHTINGALE LN, SUITE B1
TAVARES, FL 32778

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 Open Mri Of Orlando Inc's NPI number?

The NPI number for Open Mri Of Orlando Inc is 1467491993. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Lakeside Open Mri Of Tavares.

Where is Open Mri Of Orlando Inc located?

Open Mri Of Orlando Inc is located at 1879 Nightingale Ln Suite A-1, Tavares, FL 32778. The listed phone number is (352) 742-9211.

What is Open Mri Of Orlando Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Open Mri Of Orlando Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.