Provider Demographics
NPI:1427499250
Name:TRIUMPH RADIOLOGY ASSOCIATES PA
Entity type:Organization
Organization Name:TRIUMPH RADIOLOGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-795-5628
Mailing Address - Street 1:6843 N CITRUS AVE
Mailing Address - Street 2:BLDG 3 SUITE K
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-6933
Mailing Address - Country:US
Mailing Address - Phone:352-795-5628
Mailing Address - Fax:352-795-9262
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:352-554-4878
Practice Address - Fax:352-795-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology