Lake Wales Medical Imaging Center One, Inc
NPI 1063657955 · Health Information Technician · Lake Wales, FL
Lake Wales Medical Imaging Center One, Inc is a Health Information Technician organization in Lake Wales, FL (NPI 1063657955).
Provider details
- NPI number
- 1063657955
- Entity type
- Organization
- Primary specialty
- Health Information TechnicianTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Kollagunta Chandrasekhar, President(863) 232-5111
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-12-08
- Last updated
- 2008-12-08
Frequently asked questions
- What is Lake Wales Medical Imaging Center One, Inc's NPI number?
- Lake Wales Medical Imaging Center One, Inc's National Provider Identifier (NPI) is 1063657955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Wales Medical Imaging Center One, Inc?
- Lake Wales Medical Imaging Center One, Inc is classified in the NPPES registry as Health Information Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Lake Wales Medical Imaging Center One, Inc located?
- Lake Wales Medical Imaging Center One, Inc's practice location on file with NPPES is 1255 Highway 60 East 110, Lake Wales, FL 33853.
- What is Lake Wales Medical Imaging Center One, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Wales Medical Imaging Center One, Inc is (863) 232-5111.
- Who is the authorized official for Lake Wales Medical Imaging Center One, Inc?
- The authorized official listed on Lake Wales Medical Imaging Center One, Inc's NPPES record is Kollagunta Chandrasekhar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Wales Medical Imaging Center One, Inc's NPI active?
- Yes — Lake Wales Medical Imaging Center One, Inc's NPI (1063657955) is active in the NPPES registry as of the last update on 2008-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.