Healthcare Provider Details

I. General information

NPI: 1083458582
Provider Name (Legal Business Name): CONQUEST IMAGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9450 W COLONIAL DR
OCOEE FL
34761-6800
US

IV. Provider business mailing address

9450 W COLONIAL DR
OCOEE FL
34761-6800
US

V. Phone/Fax

Practice location:
  • Phone: 407-863-4900
  • Fax: 321-247-5900
Mailing address:
  • Phone: 407-863-4900
  • Fax: 321-247-5900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LOAKHNAUTH RAMKISHUN
Title or Position: OWNER
Credential: M.D.
Phone: 407-575-6390