Provider Demographics
NPI:1790301661
Name:CLEARVIEW DIAGNOSTIC
Entity Type:Organization
Organization Name:CLEARVIEW DIAGNOSTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-501-0746
Mailing Address - Street 1:8076 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-7670
Mailing Address - Country:US
Mailing Address - Phone:407-704-3333
Mailing Address - Fax:407-601-1963
Practice Address - Street 1:8076 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-7670
Practice Address - Country:US
Practice Address - Phone:407-704-3333
Practice Address - Fax:407-601-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty