MEDICARE: DLP IMAGING INC

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	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1720700537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DLP IMAGING INC

Provider Business Mailing Address
First Line	:	1951 SOUTHCREEK BLVD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7252
Country	:	US
Telephone Number	:	202-907-7363
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 SOUTHCREEK BLVD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7252
Country	:	US
Telephone Number	:	202-907-7363
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PEPPER LAMAR DAY
Credential	:	MD
Telephone Number	:	202-907-7363

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	09/19/2022

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Directions to “DLP IMAGING INC ” Practice Location

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