Heathrow Imaging LLC

NPI #1316143332 in Lake Mary, Florida

Provider Information

NPI Number
1316143332
Entity Type
Organization
Organization Name
Heathrow Imaging LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Jun 26, 2007
Last Updated
Jul 10, 2007

Practice Location

Address
1343 S INTERNATIONAL PKWY
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
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)
Clinic/Center - Radiology, MammographyRadiology, Mammography
Clinic/Center - RadiologyRadiology

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