CLERMONT RADIOLOGY-KINGS RIDGE – NPI #1003328642
Clinic/Center

CLERMONT RADIOLOGY-KINGS RIDGE is an AHC clinic located in CLERMONT, FL. NPPES has assigned the NPI number 1003328642 to CLERMONT RADIOLOGY-KINGS RIDGE on November 03, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLERMONT RADIOLOGY-KINGS RIDGE” is a dba name, the actual legal business name for this organization is CLERMONT RADIOLOGY LLC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLERMONT RADIOLOGY-KINGS RIDGE below.

NPI Profile for
CLERMONT RADIOLOGY LLC

NPI Number
1003328642
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLERMONT RADIOLOGY LLC
Doing Business As (dba): CLERMONT RADIOLOGY-KINGS RIDGE
Primary location
3725 SOUTH HIGHWAY 27
SUITE 104
CLERMONT, FL 34711
Phone: (352) 241-6100 Fax: (352) 241-6101
Mailing address
PO BOX 593869
ORLANDO, FL 32859-3869
Phone: (352) 241-6100 Fax: (352) 241-6101
Organization Subpart
Yes - CLERMONT RADIOLOGY-KINGS RIDGE is subpart of another organization.
Authorized Official
ROBERT KOLB
PRESIDENT/CEO
Phone: (770) 833-1456
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.