OrganizationActive
Radiology Consultants, PA
NPI 1164613766 · Diagnostic Radiology Physician · Lake Wales, FL
Provider details
- NPI number
- 1164613766
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Radiology Consultants, PA
- Organization subpart
- Yes
- Authorized official
- Elizabeth Lepere, Assistant Administrator(863) 293-1071
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
410 S 11th St
Lake Wales, FL 33853-4203
Phone: (863) 676-1433
Street-level locationGet directions
Mailing address
Po Box 2317
Winter Haven, FL 33883-2317
Registry dates
- Enumerated
- 2007-08-08
- Last updated
- 2007-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.