MEDICARE: RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND

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

General Provider Information

NPI Number	:	1073288825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND

Provider Business Mailing Address
First Line	:	PO BOX 20027
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-0027
Country	:	US
Telephone Number	:	800-475-6112
Fax Number	:	706-653-1230

Provider Business Practice Location Address
First Line	:	2135 HARDEN BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-5918
Country	:	US
Telephone Number	:	863-688-2334
Fax Number	:	706-653-1230

Authorized Official
Title or Position	:	CFO
Name	:	JOHN BARRETT
Credential	:
Telephone Number	:	863-688-2334

Provider Enumeration Date	:	08/13/2021
Last Update Date	:	03/03/2026

Similar Medicare Providers

1730037961 — MRS. CHATERRIA D HINES
Practice Location Address:

2105 HARDEN BLVD
LAKELAND, FL
33803-5918

Practice Phone: 863-284-0534
Practice Fax:

1831190529 — DONALD I SEROT MD
Practice Location Address:

2135 HARDEN BLVD , BUILDING C
LAKELAND, FL
33803-5918

Practice Phone: 863-687-1250
Practice Fax: 863-687-1258

1942338181 — MS. MARY LISA LACHES M.S.
Practice Location Address:

2125 HARDEN BLVD
LAKELAND, FL
33803-5918

Practice Phone: 863-687-1189
Practice Fax:

1770141665 — LOCUSTON DIALYSIS, LLC
Practice Location Address:

2105 HARDEN BLVD
LAKELAND, FL
33803-5918

Practice Phone: 863-284-0534
Practice Fax: 863-284-1140

1023773850 — KALA MARIE CAMPER APRN, PMHNP-BC
Practice Location Address:

2135 HARDEN BLVD
LAKELAND, FL
33803-5918

Practice Phone: 863-940-2087
Practice Fax:

1902558406 — ENHANCED LIFESTYLE SENIOR HEALTHCARE LLC
Practice Location Address:

2125 HARDEN BLVD
LAKELAND, FL
33803-5918

Practice Phone: 863-222-4060
Practice Fax:

Directions to “RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND ” 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.