NPI 1063657955

Lake Wales Medical Imaging Center One, INC

Organisation Health Information Technician Lake Wales, FL

Practice location

Address: 1255 Highway 60 East 110, Lake Wales, FL 33853
Phone: (863) 232-5111
Mailing address: 2301 Longleaf Blvd Suite 200, Lake Wales, FL 33859

Authorised official

Name: Kollagunta Chandrasekhar
Title: President
Phone: (863) 232-5111

Registered specialties

Health Information Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247000000X

Other Technician, Health Information providers in Florida →

Registry record

NPI: 1063657955
Entity type: Organization
NPI issued: 8 Dec 2008
Record last updated: 8 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.