MEDICARE: LMR IMAGING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	HCC 3693	FL

General Provider Information

NPI Number	:	1649263724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LMR IMAGING

Provider Business Mailing Address
First Line	:	1455 BROAD ST
Second Line	:	4TH FLOOR
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-3003
Country	:	US
Telephone Number	:	973-707-1100
Fax Number	:	973-707-1127

Provider Business Practice Location Address
First Line	:	12600 CREEKSIDE LN
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3353
Country	:	US
Telephone Number	:	239-437-8008
Fax Number	:	239-433-2515

Authorized Official
Title or Position	:	DIRECTOR OF MANAGED CARE
Name	:	CINDY MASTICE
Credential	:
Telephone Number	:	973-983-9950

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1942207477 — DAVID KENNETH REYNOLDS D.O.
Practice Location Address:

12600 CREEKSIDE LN STE 2
FORT MYERS, FL
33919-3353

Practice Phone: 239-343-9235
Practice Fax: 239-343-4008

1902898471 — DR. MICHAEL P. SHAIN PH.D.
Practice Location Address:

12600 CREEKSIDE LN STE 7
FORT MYERS, FL
33919-3353

Practice Phone: 239-343-9220
Practice Fax: 239-343-9231

1437146339 — JUDITH PETRIN APRN
Practice Location Address:

12600 CREEKSIDE LN , SUITE 7
FORT MYERS, FL
33919-3353

Practice Phone: 239-343-9220
Practice Fax: 239-343-9231

1568415438 — CATHLEEN L ZERBE ARNP
Practice Location Address:

12600 CREEKSIDE LN , SUITE 6
FORT MYERS, FL
33919-3353

Practice Phone: 239-343-9219
Practice Fax:

1639115355 — MRS. NICOLE J THOMPSON APN
Practice Location Address:

12600 CREEKSIDE LN STE 2
FORT MYERS, FL
33919-3353

Practice Phone: 239-343-9235
Practice Fax: 239-343-4008

1881613743 — NEUROPSYCHOLOGICAL ASSOCIATES OF SOUTH FLORIDA PA
Practice Location Address:

12600 CREEKSIDE LN STE 7A
FORT MYERS, FL
33919-3353

Practice Phone: 239-481-1633
Practice Fax: 293-481-1632

Directions to “LMR IMAGING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.