Lad Imaging LLC

NPI #1144210477 in Deltona, Florida

Provider Information

NPI Number: 1144210477
Entity Type: Organization
Organization Name: Lad Imaging LLC
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Oct 27, 2005
Last Updated: Aug 31, 2011

Practice Location

Address: 1555 SAXON BLVD
Address 2: STE 401
City: Deltona
State: Florida
ZIP Code: 32725-5861
Phone: (386) 532-0094

Authorized Official

Name: MR. WILLIAM B. RUTHERFORD
Title: SENIOR VP
Phone: (615) 309-2190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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