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LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
NPI 1912570045
Radiology - Diagnostic Radiology in The Villages, FL

Active since July 16, 2021
910 OLD CAMP RD STE 120, THE VILLAGES, FL 32162(352) 787-5858(352) 787-4655 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2021, Jul 16, 2021 (2 updates tracked since 2021).

About Lake Medical Imaging And Breast Center At The Villages Llc NPPES

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

LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC (NPI 1912570045), doing business as Lake Medical Imaging At Lake Sumter Landing, is a healthcare organization registered as a diagnostic radiology in The Villages, Florida and active in the NPI registry since July 2021. The organization lists Joshua Lee Floyd, Director, Risk Management, as its authorized official.

NPPES Registry Identity

NPI1912570045
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
Location Address910 OLD CAMP RD STE 120The Villages, FL 32162-5605
Mailing Address734 N 3rd St Ste 115Leesburg, FL 34748-5287 · (352) 365-2583 · Fax (352) 728-6749
Phone(352) 787-5858
Fax(352) 787-4655
Organization SubpartNo
Authorized OfficialJoshua Lee FloydDirector, Risk Management · (365) 352-2583
Enumeration DateJuly 16, 2021
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1912570045 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.
910 OLD CAMP RD STE 120, The Villages, FL 32162
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Other Names 1

Doing Business AsLake Medical Imaging At Lake Sumter Landing

Other Identifiers 1

Medicaid101183204FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KYLE ALAN HOPKINS PA
Physician Assistant
910 OLD CAMP RD STE 120
THE VILLAGES, FL 32162
Sumter County (352) 787-5858
KENNETH MANDATO
Radiology (Vascular & Interventional Radiology)
910 OLD CAMP RD STE 120
THE VILLAGES, FL 32162
Sumter County (352) 787-5858

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 Lake Medical Imaging And Breast Center At The Villages LLC's NPI number?

The NPI number for Lake Medical Imaging And Breast Center At The Villages LLC is 1912570045. It was assigned to this organization in the NPPES registry on July 16, 2021. The provider is doing business as Lake Medical Imaging at Lake Sumter Landing.

Where is Lake Medical Imaging And Breast Center At The Villages LLC located?

Lake Medical Imaging And Breast Center At The Villages LLC is located at 910 Old Camp Rd Ste 120, The Villages, FL 32162. The listed phone number is (352) 787-5858.

What is Lake Medical Imaging And Breast Center At The Villages LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Medical Imaging And Breast Center At The Villages LLC was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.