OrganizationActive
Sand Lake Imaging Lllp
NPI 1770565178 · Diagnostic Radiology Physician · Orlando, FL
Provider details
- NPI number
- 1770565178
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Holman, Sr. Director, Rcm(866) 674-7933
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
9350 Turkey Lake Rd
Orlando, FL 32819-7319
Phone: (407) 363-2772
Fax: (407) 745-2844
Street-level locationGet directions
Mailing address
Po Box 161527
Altamonte Springs, FL 32716-1527
Registry dates
- Enumerated
- 2005-11-19
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.