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MEDICAL IMAGING & THERAPEUTICS LLC
NPI 1528308350
Radiology - Diagnostic Radiology in Lady Lake, FL

Active since February 14, 2013CLIA 10D2135342 · Waiver
769 HIGHWAY 466, SUITE 769, LADY LAKE, FL 32159(352) 261-5502(480) 247-4206 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Medical Imaging & Therapeutics Llc NPPES

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

MEDICAL IMAGING & THERAPEUTICS LLC (NPI 1528308350) is a healthcare organization registered as a diagnostic radiology in Lady Lake, Florida and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Mark D Jacobson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1528308350
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMEDICAL IMAGING & THERAPEUTICS LLC
Location Address769 HIGHWAY 466, SUITE 769Lady Lake, FL 32159-6340
Mailing Address922 Shore Acres DrLeesburg, FL 34748-9269 · (352) 267-1963 · Fax (480) 247-4206
Phone(352) 261-5502
Fax(480) 247-4206
Organization SubpartNo
Authorized OfficialMark D JacobsonSole Member · (352) 267-1963
Enumeration DateFebruary 14, 2013
✔ NPI 1528308350 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.
769 HIGHWAY 466, Lady Lake, FL 32159
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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 10D2135342

Medical Imaging & Therapeutics · Lady Lake, FL
Active · expires Aug 20, 2027
CLIA Number10D2135342
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorMark D. Jacobson
Laboratory Phone(352) 261-5502
Laboratory LocationMedical Imaging & Therapeutics13837 NE 86th Terrace, Lady Lake, FL 32159
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MARK DAVID JACOBSON M.D.
Radiology (Vascular & Interventional Radiology)
769 HIGHWAY 466
LADY LAKE, FL 32159
Lake County (352) 261-5502

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 Medical Imaging & Therapeutics LLC's NPI number?

The NPI number for Medical Imaging & Therapeutics LLC is 1528308350. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is Medical Imaging & Therapeutics LLC located?

Medical Imaging & Therapeutics LLC is located at 769 Highway 466 Suite 769, Lady Lake, FL 32159. The listed phone number is (352) 261-5502.

What is Medical Imaging & Therapeutics LLC's specialty?

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

Does Medical Imaging & Therapeutics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2135342) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Imaging & Therapeutics LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Medical Imaging & Therapeutics 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 Medical Imaging & Therapeutics LLC was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.