LAKELAND VASCULAR INSTITUTE OUTPATIENT CENTER
NPI 1912406984
Radiology - Vascular & Interventional Radiology in Lakeland, FL

Q: What is Radiology & Imaging Specialists Of Lakeland PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since February 06, 2018CLIA 10D2146992 · Accreditation

3221 S FLORIDA AVE STE B, LAKELAND, FL 33803(863) 577-0296 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Lakeland Vascular Institute Outpatient Center NPPES

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

LAKELAND VASCULAR INSTITUTE OUTPATIENT CENTER (NPI 1912406984) is a healthcare organization registered as a vascular & interventional radiology in Lakeland, Florida and active in the NPI registry since February 2018. The organization holds an CLIA Accreditation certificate valid through May 15, 2028 and lists Edward J Goodemote, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912406984

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameRADIOLOGY & IMAGING SPECIALISTS OF LAKELAND PA

Location Address3221 S FLORIDA AVE STE BLakeland, FL 33803-4550

Mailing Address2125 Crystal Grove DrLakeland, FL 33801-6875 · (863) 577-0303

Phone(863) 577-0296

Organization SubpartNo

Authorized OfficialEdward J GoodemoteCeo · (863) 577-0303

Enumeration DateFebruary 6, 2018

✔ NPI 1912406984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X

3221 S FLORIDA AVE STE B, Lakeland, FL 33803

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Other Names 1

Doing Business AsLakeland Vascular Institute Outpatient Center

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

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 Accreditation 10D2146992

Lakeland Vascular Institute Outpatient Center · Lakeland, FL

Active · expires May 15, 2028

CLIA Number10D2146992

Laboratory TypePhysician Office

Certificate Effective DateMay 16, 2026

Certificate Expiration DateMay 15, 2028

Laboratory DirectorDr. Fakhir F. Elmasri

Laboratory Phone(863) 577-0296

Laboratory LocationLakeland Vascular Institute Outpatient Center3221 South Florida Ave Suite B, Lakeland, FL 33803

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND

Radiology (Diagnostic Radiology)

3221 S FLORIDA AVE STE B
LAKELAND, FL 33803

Polk County (863) 688-2334

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 Radiology & Imaging Specialists Of Lakeland PA's NPI number?

The NPI number for Radiology & Imaging Specialists Of Lakeland PA is 1912406984. It was assigned to this organization in the NPPES registry on February 6, 2018. The provider is doing business as Lakeland Vascular Institute Outpatient Center.

Where is Radiology & Imaging Specialists Of Lakeland PA located?

Radiology & Imaging Specialists Of Lakeland PA is located at 3221 S Florida Ave Ste B, Lakeland, FL 33803. The listed phone number is (863) 577-0296.

What is Radiology & Imaging Specialists Of Lakeland PA's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Does Radiology & Imaging Specialists Of Lakeland PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2146992) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Radiology & Imaging Specialists Of Lakeland PA was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.