Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Wales Medical Imaging Center One, Inc

Organization Health Information Technician · NPI 1063657955

Lake Wales Medical Imaging Center One, Inc provides Health Information Technician services in Lake Wales, Florida. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1255 Highway 60 East 110
Lake Wales, FL 33853 Not confirmed with CMS for 17 years — call before visiting
Phone: (863) 232-5111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Information Technician (primary) Taxonomy 247000000X

Record details

NPI number1063657955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kollagunta Chandrasekhar — President · (863) 232-5111
NPI enumeratedDecember 8, 2008
Last updated in NPPESDecember 8, 2008
Mailing address2301 Longleaf Blvd Suite 200, Lake Wales, FL 33859