1. Home
  2. Directory
  3. Florida
  4. Mount Dora
  5. Clinic Center
  6. NPI Profile

PHYSICIANS IMAGING-MT DORA LLC
NPI 1629294681
Clinic/Center - Radiology in Mount Dora, FL

Active since April 18, 2007
3615 LAKE CENTER DR, MOUNT DORA, FL 32757(352) 383-3716(352) 383-7457 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Radiology

About PHYSICIANS IMAGING-MT DORA LLC

This page provides the complete NPI Profile along with additional information for Physicians Imaging-mt Dora Llc, a provider established in Mount Dora, Florida operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1629294681 assigned on April 2007. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Elias J Gerth M.d. (Operating Manager)

NPI
1629294681 Verify this NPI
Provider Name
PHYSICIANS IMAGING-MT DORA LLC
Entity Type
Organization
Location Address
3615 LAKE CENTER DR MOUNT DORA, FL 32757
Location Phone
(352) 383-3716
Location Fax
(352) 383-7457
Mailing Address
P.O. BOX 4610 LAKE CHARLES, LA 70606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2007
Last Update Date
12-19-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ELIAS J GERTH M.D.

Authorized Official Title
OPERATING MANAGER
Authorized Official Phone
(305) 295-1242

Reviews for PHYSICIANS IMAGING-MT DORA LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. HECTOR RAMIREZ JR. M.D.
Radiology (Diagnostic Radiology)
3615 LAKE CENTER DR
MOUNT DORA, FL 32757
Orange County (352) 383-3716

Frequently Asked Questions

What is PHYSICIANS IMAGING-MT DORA LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629294681, enumerated as an "organization" on April 18, 2007.

Where is the provider located?

The provider is located at 3615 LAKE CENTER DR MOUNT DORA, FL 32757 and the phone number is (352) 383-3716.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.