=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083570261
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OHRI, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2025
-----------------------------------------------------
Last Update Date | 12/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17331 PAGONIA RD
-----------------------------------------------------
City | CLERMONT
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34711-6010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-331-9355
-----------------------------------------------------
Fax | 407-331-9481
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1414 KUHL AVE MP 212
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32806-2008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-843-9428
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AVP, AMBULATORY
-----------------------------------------------------
Name | JOEL RIEMENSCHNEIDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 321-843-9428
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0200X
-----------------------------------------------------
Taxonomy Name | Radiology Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------