{"npi":"1366015232","type":"NPI-2","status":"active","name":{"display":"Lake Medical Imaging And Breast Center At The Villages LLC","other":[],"organization_name":"LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC","authorised_official":"Joshua Floyd"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2955 BROWNWOOD BLVD STE 112","city":"THE VILLAGES","state":"FL","postal_code":"321632036","country_code":"US","phone":"3527875858","fax":"3527874655"},{"purpose":"MAILING","street_1":"734 N 3RD ST STE 115","city":"LEESBURG","state":"FL","postal_code":"347485287","country_code":"US","phone":"3527875858","fax":"3527286749"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"101183205","state":"FL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-07-20","last_updated":"2021-07-21","_meta":{"source":"NPPES","snapshot_date":"2021-07-21","doc_url":"https://findmynpi.com/api"}}