Provider Profile
LAKES RADIOLOGY INC
Health Care Clinic
FACILITY PROFILE
Accredited by: American College of Radiology
Street Address
- 14575 NW 77TH AVE STE 100-200
MIAMI LAKES, FL 33014
County: Miami-Dade - Phone: (305) 231-1115
Mailing Address
- 14575 NW 77TH AVE STE 100-200
MIAMI LAKES, FL 33014-2174
County: Miami-Dade - Phone: (305) 231-1115
AHCA Reports
Inspection ReportsInspection Details
Facility Information:
| Facility/Provider Type: | Health Care Clinic | |||||||||
| Medical or Clinic Director: | JUAN LUIS DELGADO OS | |||||||||
| Administrator: | SAMUEL ARRIAGA | |||||||||
| Owner/Licensee: | LAKES RADIOLOGY INC | |||||||||
| Owner/Licensee Since: | 3/16/2006 | |||||||||
| ||||||||||
| Profit Status: | For-Profit | |||||||||
| Licensed Beds: | Not Available | |||||||||
| AHCA Number (File Number): | 5533 | |||||||||
| AHCA Field Office: | 11 | |||||||||
| License Number: | 4328 | |||||||||
| Current License Effective: | 7/28/2024 | |||||||||
| Current License Expires: | 7/27/2026 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
| Specialty: | PIP Recipient |
| Type: | Portable Equipment Provider |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 4/29/2010 | |||||
| 11/3/2005 | 2005009420 | Fine | Licensure | $5,000.00 | 4/25/2007 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.