LAKE MEDICAL IMAGING AT COLONY PLAZA
NPI 1942879192
Radiology - Diagnostic Radiology in The Villages, FL
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 10D2055114
- CLIA Cert. Type: Other - IMAGING CENTER
- CLIA Exp. Date: 03-05-2027
About LAKE MEDICAL IMAGING AT COLONY PLAZA
This page provides the complete NPI Profile along with additional information for Lake Medical Imaging At Colony Plaza, a provider established in The Villages, Florida operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1942879192 assigned on June 2021. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Lake Medical Imaging At Colony Plaza. The authorized official of this NPI record is Joshua Lee Floyd Phd (Director, Risk Management)
- NPI
- 1942879192 Verify this NPI
- Provider Legal Name
- LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
- Other Organization Name
- LAKE MEDICAL IMAGING AT COLONY PLAZA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 340 HEALD WAY BLDG 140 THE VILLAGES, FL 32163
- Location Phone
- (352) 787-5858
- Location Fax
- (352) 787-4655
- Mailing Address
- 734 N 3RD ST STE 115 LEESBURG, FL 34748
- Mailing Phone
- (352) 787-5858
- Mailing Fax
- (352) 728-6749
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2021
- Last Update Date
- 06-23-2021
- 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 Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101183201 | MEDICAID (05) | FL |
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
- 10D2055114
- Facility Type
- Other - IMAGING CENTER
- Certificate Effective Date
- March 06, 2025
- Certificate Expiration Date
- March 05, 2027
- Laboratory Director
- KADY MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Medical Imaging At Colony Plaza to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942879192, enumerated as an "organization" on June 22, 2021.
The provider is located at 340 HEALD WAY BLDG 140 THE VILLAGES, FL 32163 and the phone number is (352) 787-5858.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
