Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Edx LLC

Q: What type of organization is Lakeside Edx LLC?

Lakeside Edx LLC is registered in NPPES as a Radiology Clinic/Center (its primary provider taxonomy).

Radiology Clinic/Center in Miramar Beach, FL · enumerated 2021 · authorized official Thomas Winger, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730763244

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Edx LLC

Practice address 495 Grand Blvd Ste 206, Miramar Beach, FL, 32550

Phone (800) 416-1767

Enumeration date May 11, 2021

Last updated in NPPES May 11, 2021

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Thomas Winger

Title Member

Phone (800) 416-1767

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Lakeside Edx LLC?

Lakeside Edx LLC is registered in NPPES as a Radiology Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-11.