LAKELAND VASCULAR INSTITUTE OUTPATIENT CENTER
NPI 1912406984
Radiology - Vascular & Interventional Radiology in Lakeland, FL
NPI Status: Active since February 06, 2018
Contact Information
3221 S FLORIDA AVE STE B
LAKELAND, FL
ZIP 33803
Phone: (863) 577-0296
- Organization
- Radiology
- Vascular & Interventional Radiology
- CLIA Number: 10D2146992
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-15-2028
About LAKELAND VASCULAR INSTITUTE OUTPATIENT CENTER
This page provides the complete NPI Profile along with additional information for Lakeland Vascular Institute Outpatient Center, a provider established in Lakeland, Florida operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1912406984 assigned on February 2018. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Lakeland Vascular Institute Outpatient Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lakeland Vascular Institute Outpatient Center. The authorized official of this NPI record is Edward J Goodemote (Ceo)
- NPI
- 1912406984
- Provider Legal Name
- RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND PA
- Other Organization Name
- LAKELAND VASCULAR INSTITUTE OUTPATIENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3221 S FLORIDA AVE STE B LAKELAND, FL 33803
- Location Phone
- (863) 577-0296
- Mailing Address
- 2125 CRYSTAL GROVE DR LAKELAND, FL 33801
- Mailing Phone
- (863) 577-0303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2018
- Last Update Date
- 02-06-2018
- 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
Radiology Vascular & Interventional Radiology
- Taxonomy Code
- 2085R0204X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2146992
- Facility Type
- Physician Office
- Certificate Effective Date
- May 16, 2026
- Certificate Expiration Date
- May 15, 2028
- Laboratory Director
- DR. FAKHIR F. ELMASRI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Lakeland Vascular Institute Outpatient Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1912406984, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LAKELAND, FL 33803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912406984, enumerated as an "organization" on February 06, 2018.
The provider is located at 3221 S FLORIDA AVE STE B LAKELAND, FL 33803 and the phone number is (863) 577-0296.
Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.
