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Lad Imaging Llc
Mammography Clinic/Center in Deland, Florida
NPI 1194716118

Lad Imaging Llc is a Mammography Clinic/Center based in Deland, FL and is specialized in Radiology, Mammography. Lad Imaging Llc practices in Deland, FL. The NPI Number for Lad Imaging Llc is 1194716118 and holds a License No. (Florida).

The current practice location address for Lad Imaging Llc is 1193 South Woodland Blvd, Deland, FL and can be reached out via phone at 386-574-5748 and via fax at 386-574-0712.

Location: 1193 South Woodland Blvd, Deland, FL, 32720-7416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194716118
Provider Name
Lad Imaging Llc
Credential
Provider Entity Type
Organization
Address
1193 South Woodland Blvd, Deland, FL, 32720-7416
Phone Number
386-574-5748
Fax Number
386-574-0712
Provider Enumeration Date
10/31/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2977 01 FL BCBS OF FL
280838200 05 FL
institution
Provider Business Practice Location Address Details
Address
1193 South Woodland Blvd
City
Deland
State
Florida
Zip
32720-7416
Phone Number
386-574-5748
Fax Number
386-574-0712
person
Provider Business Mailing Address Details
Address
1193 South Woodland Blvd
City
Deland
State
Florida
Zip
32720-7416
Phone Number
386-574-5748
Fax Number
386-574-0712
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
261QM1200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
()
Definition
Definition to come...
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