Lake Medical Imaging and Breast Center at the Villages LLC
NPI 1770541633ActiveOrganization· Radiology, Diagnostic Radiology· Leesburg, FL
Radiology, Diagnostic Radiology in Leesburg, Florida, registered in NPPES in May 2006. The authorized official on file is Josh L. Floyd, Director Of Risk Management. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770541633 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2006 |
| Last updated in NPPES | Jun 23, 2021 |
| Certified by provider | Jun 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Radiology, Diagnostic Radiology providers in Leesburg
- 1649225715
- 1982162681
- 1639380322
- 1497510978
- 1497202675
- 1104219948
- 1184689127
- 1689236275
- 1265002240
- 1285682377
- 1114975281
- 1669420782