Heathrow Imaging LLC

NPI #1043416928 in Lake Mary, Florida

Provider Information

NPI Number
1043416928
Entity Type
Organization
Organization Name
Heathrow Imaging LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jun 26, 2007
Last Updated
Oct 15, 2009

Practice Location

Address
1343 SOUTH INTERNATIONAL PARKWAY
Address 2
SUITE 1351 BLDG 3
State
Florida
ZIP Code
32746-1401
Phone
(407) 333-4464

Authorized Official

Name
MR. LAVELLE R HARDIN
Title
CREDENTIALING COORDINATOR
Phone
(615) 344-8203

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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