| NPI | 1154450351 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-05 |
| Last Updated | 2021-08-10 |
| Authorized Official | Anthony Rosa Owner Phone: 8634219393 |
| Mailing Address | P.o. Box 2159 Haines City, FL 33845-2159 United States Phone: (863) 421-9393 | Fax: (866) 560-1517 📍 View Map |
| Primary Practice Address | 2235 North Boulevard West Davenport, FL 33837-8990 United States Phone: (863) 421-9393 | Fax: (866) 560-1517 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 255768100 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | - | - |
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About NPI 1154450351
Advance Technological Radiology, Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1154450351. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Davenport, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1154450351?
NPI 1154450351 belongs to Advance Technological Radiology, Pa, a Radiology, Diagnostic Radiology in Davenport, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1154450351 active?
The current status of NPI 1154450351 in the NPPES registry is Active. The record was last updated on 2021-08-10.
What specialty is NPI 1154450351?
NPI 1154450351 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1154450351?
You can verify NPI 1154450351 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1154450351?
The primary practice address on file for NPI 1154450351 is 2235 North Boulevard West, Davenport, FL 33837-8990. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1154450351 issued?
NPI 1154450351 was first issued (enumerated) on 2007-03-05. The NPPES record was last updated on 2021-08-10.
Practice Location Map
Advance Technological Radiology, Pa is located at 2235 North Boulevard West, Davenport, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Advance Technological Radiology, Pa. All records sourced from the CMS NPPES registry.