BAYCARE OUTPATIENT IMAGING LLC
NPI 1629853015
Radiology - Diagnostic Radiology in Winter Haven, FL

Active since August 25, 2023CLIA 10D2298249 · Waiver
635 1ST ST N, WINTER HAVEN, FL 33881(813) 259-1900 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Aug 25, 2023 (2 updates tracked since 2023).

About Baycare Outpatient Imaging Llc NPPES

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

BAYCARE OUTPATIENT IMAGING LLC (NPI 1629853015) is a healthcare organization registered as a diagnostic radiology in Winter Haven, Florida and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through January 30, 2028 and lists Lynda Gorken, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629853015
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBAYCARE OUTPATIENT IMAGING LLC
Location Address635 1ST ST NWinter Haven, FL 33881-4129
Mailing Address2995 Drew Street, 2nd FloorClearwater, FL 33759 · (727) 315-6974 · Fax (813) 635-2613
Organization SubpartNo
Authorized OfficialLynda GorkenVice President · (727) 281-9202
Enumeration DateAugust 25, 2023
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1629853015 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.
635 1ST ST N, Winter Haven, FL 33881

Other Identifiers 1

Medicaid101818504FL

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

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 10D2298249

Baycare Outpatient Imaging, LLC · Winter Haven, FL
Active · expires Jan 30, 2028
CLIA Number10D2298249
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateJanuary 31, 2026
Certificate Expiration DateJanuary 30, 2028
Laboratory DirectorGary Chappel
Laboratory Phone(863) 298-3388
Laboratory LocationBaycare Outpatient Imaging, LLC635 1st St North - Ste 101, Winter Haven, FL 33881
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine (Nephrology)
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
635 1ST ST N
WINTER HAVEN, FL 33881
Psychologist
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881

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 Baycare Outpatient Imaging LLC's NPI number?

The NPI number for Baycare Outpatient Imaging LLC is 1629853015. It was assigned to this organization in the NPPES registry on August 25, 2023.

Where is Baycare Outpatient Imaging LLC located?

Baycare Outpatient Imaging LLC is located at 635 1st St N, Winter Haven, FL 33881. The listed phone number is (813) 259-1900.

What is Baycare Outpatient Imaging LLC's specialty?

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

Does Baycare Outpatient Imaging LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2298249) is associated with this NPI, valid through January 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baycare Outpatient Imaging LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Baycare Outpatient Imaging 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 Baycare Outpatient Imaging LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.