ADVANCED IMAGING CENTER OF LEESBURG,LLC; NPI #1881838670

Contact Information

ADVANCED IMAGING CENTER OF LEESBURG,LLC

262 MOHAWK RD
CLERMONT, FL 34715-7433

Phone: 352-243-2111
Fax:
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 LEESBURG,LLC

NPI Number 1881838670

LBN Legal business name ADVANCED IMAGING CENTER OF LEESBURG,LLC

Authorized official LESLIE OLANDER - (DIRECTOR OF OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/24/2009

Last updated 06/15/2009 - About 17 years ago

Identifiers

License #

JR36381000

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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