ADVANCED IMAGING CENTER OF CLERMONT, INC.; NPI #1831200211

Contact Information

ADVANCED IMAGING CENTER OF CLERMONT, INC.

262 MOHAWK RD
CLERMONT, FL 34715-7433

Phone: 352-243-2111
Fax: 352-243-2112
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for ADVANCED IMAGING CENTER OF CLERMONT, INC.

NPI Number 1831200211

LBN Legal business name ADVANCED IMAGING CENTER OF CLERMONT, INC.

Authorized official ROMAN DUBSKY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

HCC4848

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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