Provider profile · NPI 1396419289
Advance Technological Radiology, Pa
Radiology, Diagnostic Radiology · Lake Wales, FL · NPI 1396419289 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Aug 4, 2021
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 2159 | Haines City, FL 33845-2159 | 863-421-9393 |
| LOCATION | 24040 US HIGHWAY 27 | Lake Wales, FL 33859-7813 | 863-456-2200 |
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