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

Radiology Regional Center Professional Services LLC

Organization Diagnostic Radiology Physician · NPI 1619365772

Radiology Regional Center Professional Services LLC provides Diagnostic Radiology Physician services in Fort Myers, Florida. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone: (239) 343-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1619365772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Krivisky — President · (239) 931-6376
NPI enumeratedDecember 24, 2014
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address3660 Broadway, Fort Myers, FL 33901-8005

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