MEDICARE: RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V2700	OTHER	FL	BCBS FL

General Provider Information

NPI Number	:	1750654000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA

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	:	2120 LAKELAND HILLS BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-2906
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	:	02/17/2012
Last Update Date	:	03/03/2026

Similar Medicare Providers

1588661532 — RUSSELL N NUSYNOWITZ M.D.
Practice Location Address:

2120 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2906

Practice Phone: 863-688-2334
Practice Fax: 863-577-1167

1316945595 — DR. GARY J. CHAPPEL M.D.
Practice Location Address:

2120 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2906

Practice Phone: 863-688-2334
Practice Fax: 863-567-1167

1700884988 — MR. JAMES F ZIMMER MD
Practice Location Address:

2120 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2906

Practice Phone: 863-622-2334
Practice Fax: 863-577-1167

1417920877 — LAWRENCE ROBERT SOWKA MD
Practice Location Address:

2120 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2906

Practice Phone: 863-688-2334
Practice Fax:

1144399676 — JAMES H JOHNSON MD PA
Practice Location Address:

2112 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2906

Practice Phone: 863-688-0540
Practice Fax: 863-683-9805

1174739619 — MISS ANUNYA HIRANRATTANA M.D.
Practice Location Address:

2104 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2906

Practice Phone: 407-898-2767
Practice Fax:

Directions to “RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA ” 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.