1. Home
  2. Directory
  3. Florida
  4. The Villages
  5. Radiology
  6. NPI Profile

LAKE MEDICAL IMAGING AT COLONY PLAZA
NPI 1942879192
Radiology - Diagnostic Radiology in The Villages, FL

Active since June 22, 2021CLIA 10D2055114 · Waiver
340 HEALD WAY BLDG 140, THE VILLAGES, FL 32163(352) 787-5858(352) 787-4655 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lake Medical Imaging At Colony Plaza NPPES

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

LAKE MEDICAL IMAGING AT COLONY PLAZA (NPI 1942879192) is a healthcare organization registered as a diagnostic radiology in The Villages, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Joshua Lee Floyd, Director, Risk Management, as its authorized official.

NPPES Registry Identity

NPI1942879192
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
Location Address340 HEALD WAY BLDG 140The Villages, FL 32163-6000
Mailing Address734 N 3rd St Ste 115Leesburg, FL 34748-5287 · (352) 787-5858 · Fax (352) 728-6749
Phone(352) 787-5858
Fax(352) 787-4655
Organization SubpartNo
Authorized OfficialJoshua Lee FloydDirector, Risk Management · (365) 352-2583
Enumeration DateJune 22, 2021
Last NPPES UpdateJune 23, 2021
NPPES CertifiedJune 23, 2021
✔ NPI 1942879192 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.
340 HEALD WAY BLDG 140, The Villages, FL 32163
Open in Google Maps ↗

Other Names 1

Doing Business AsLake Medical Imaging At Colony Plaza

Other Identifiers 1

Medicaid101183201FL

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 SINGLE 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 Waiver 10D2055114

Lake Medical Imaging At Colony Plaza · The Villages, FL
Active · expires Mar 5, 2027
CLIA Number10D2055114
Laboratory TypeImaging Center
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorKady Martin
Laboratory Phone(352) 435-6864
Laboratory LocationLake Medical Imaging At Colony Plaza340 Heald Way Bldg 140, The Villages, FL 32163
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1942879192. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as Lake Medical Imaging At Colony Plaza.

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 340 Heald Way Bldg 140, The Villages, FL 32163. 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.

Does Lake Medical Imaging And Breast Center At The Villages LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2055114) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 June 23, 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.