OrganizationActive
Lakeside Edx LLC
NPI 1730763244 · Radiology Clinic/Center · Miramar Beach, FL
Lakeside Edx LLC is a Radiology Clinic/Center organization in Miramar Beach, FL (NPI 1730763244).
Provider details
- NPI number
- 1730763244
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Winger, Member(800) 416-1767
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone: (800) 416-1767
Street-level locationGet directions
Mailing address
495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2021-05-11
- Certified
- 2021-05-11
Frequently asked questions
- What is Lakeside Edx LLC's NPI number?
- Lakeside Edx LLC's National Provider Identifier (NPI) is 1730763244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Edx LLC?
- Lakeside Edx LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Edx LLC located?
- Lakeside Edx LLC's practice location on file with NPPES is 495 Grand Blvd Ste 206, Miramar Beach, FL 32550-1897.
- What is Lakeside Edx LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Edx LLC is (800) 416-1767.
- Who is the authorized official for Lakeside Edx LLC?
- The authorized official listed on Lakeside Edx LLC's NPPES record is Thomas Winger, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Edx LLC's NPI active?
- Yes — Lakeside Edx LLC's NPI (1730763244) is active in the NPPES registry as of the last update on 2021-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.