MEDICARE: NAPLES RADIOLOGISTS, P.A.

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB7174	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164414991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAPLES RADIOLOGISTS, P.A.

Provider Business Mailing Address
First Line	:	PO BOX 1187
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46206-1187
Country	:	US
Telephone Number	:	888-656-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 PINE RIDGE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-348-4000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSEPH SERIO
Credential	:
Telephone Number	:	239-262-2708

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	06/10/2013

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