Organization · Type 2 NPI

Radiology & Imaging Specialists of Lakeland, PA

Diagnostic Radiology Physician · Lakeland, FL

NPI number 1235401480 Active

Practice location

3021 Lakeland Highlands Rd, Ste 3
Lakeland, FL 33803-4339

Call (863) 688-2334 Map

Fax (863) 577-1167

Mailing address

2125 Crystal Grove Dr
Lakeland, FL 33801-6875

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3 other providers at this address

Other diagnostic radiology physician providers in Lakeland

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NPI record

NPI: 1235401480
Entity type: Organization (Type 2)
Issued: Feb 3, 2012
Last updated: Nov 3, 2016
Status: Active
Subpart: Yes of Radiology & Imaging Specialists of Lakeland, PA

Other names

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Southside Office · doing business as

Authorized official

Edward J Goodemote, PhD, RN
CEO
(863) 577-0303

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235401480

Radiology & Imaging Specialists of Lakeland, PA's National Provider Identifier is 1235401480, issued on Feb 3, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lakeland, FL. The record was last updated on Nov 3, 2016.