Advance Technological Radiology, Pa

LBN: Advance Technological Radiology, Pa
Advance Technological Radiology, Pa is an health care organization with primary practice located at 24040 Us Highway 27 , Lake Wales FL 33859-7813. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Advance Technological Radiology, Pa can be contacted via phone (863) 456-2200, or through Rosa, Anthony T via phone (863) 421-9393.

Contact Information

Primary practice address
24040 Us Highway 27 Lake Wales FL 33859-7813
Phone: (863) 456-2200
Fax: (863) 223-0858
Website:
Map and Directions
Authorized official contact:
Name: Rosa, Anthony T Doctor of Medicine (MD)
Phone: (863) 421-9393

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1396419289
LBN Legal business name Advance Technological Radiology, Pa
DBA Doing business as
Authorized official Rosa, Anthony T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 10th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396419289 NPPES
Florida MEDICAID 255768101

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