OrganizationActive
Advanced Imaging of Port Charlotte LLC
NPI 1659365021 · Diagnostic Radiology Physician · Port Charlotte, FL
Provider details
- NPI number
- 1659365021
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Fabian, Owner(941) 235-4646
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2625 Tamiami Trl
Unit 1
Port Charlotte, FL 33952-6478
Phone: (941) 235-4646
Fax: (941) 235-4655
Street-level locationGet directions
Mailing address
2625 Tamiami Trl
Port Charlotte, FL 33952-6478
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.