| Organization Name: | LAD IMAGING LLC |
| NPI Number: | 1144210477 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM B. RUTHERFORD (SENIOR VP) |
| Mailing Address: | 1555 Saxon Blvd Ste 401 Deltona |
| State: | FL US |
| Postal Code: | 327255861 |
| Phone Number: | 3865320094 |
| Fax Number: | 3865320451 |
| NPI Enumeration Date: | 10/27/2005 |
| NPI Last Update Date: | 08/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |