MEDICARE: XRAY AND IMAGING CENTER

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	261QR0200X	Radiology Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	219790	OTHER	FL	FDA
2	25303	OTHER	FL	BCBS
3	0058418	OTHER	FL	ME

General Provider Information

NPI Number	:	1295730232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XRAY AND IMAGING CENTER

Provider Business Mailing Address
First Line	:	2621 SE LAKE WEIR AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-6720
Country	:	US
Telephone Number	:	352-369-0770
Fax Number	:	352-369-0772

Provider Business Practice Location Address
First Line	:	2621 SE LAKE WEIR AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-6720
Country	:	US
Telephone Number	:	352-369-0770
Fax Number	:	352-369-0772

Authorized Official
Title or Position	:	RADIOLOGIST
Name	:	DR. BEATRIZ LUMAIN CATRAL
Credential	:	M.D.
Telephone Number	:	352-369-0770

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/07/2023

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Directions to “XRAY AND IMAGING CENTER ” Practice Location

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