| Organization Name: | ADVANCED IMAGING CENTER OF LEESBURG LLC |
| NPI Number: | 1346406006 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE J OLANDER (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 7552 Navarre Pkwy Suite 29 Navarre |
| State: | FL US |
| Postal Code: | 325667305 |
| Phone Number: | 8509360911 |
| Fax Number: | 8509366766 |
| NPI Enumeration Date: | 08/01/2008 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |