Provider Demographics
NPI:1407560196
Name:INVISION DIAGNOSTICS OF FLORIDA LLC
Entity type:Organization
Organization Name:INVISION DIAGNOSTICS OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-318-1349
Mailing Address - Street 1:PO BOX 13219
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-3219
Mailing Address - Country:US
Mailing Address - Phone:877-318-1349
Mailing Address - Fax:
Practice Address - Street 1:3233 SW 33RD RD STE 301
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8425
Practice Address - Country:US
Practice Address - Phone:352-877-9221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INVISION DIAGNOSTICS OF FLORIDA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-09
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography