OrganizationActive
Lake Wales Medical Imaging Center One, Inc
NPI 1063657955 · Health Information Technician · Lake Wales, FL
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
Practice location
1255 Highway 60 East 110
Lake Wales, FL 33853
Phone: (863) 232-5111
Approximate (ZIP-level) locationGet directions
Mailing address
2301 Longleaf Blvd Suite 200
Lake Wales, FL 33859
Registry dates
- Enumerated
- 2008-12-08
- Last updated
- 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.