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JACKSONVILLE DIAGNOSTIC IMAGING LLC NPI 1144451881


NPI Information

NPI: 1144451881
Provider Name: JACKSONVILLE DIAGNOSTIC IMAGING LLC

Doing Business As: NCDI-MOBILE 3

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
14215 BALLANTYNE CORPORATE PL
CHARLOTTE, NC
ZIP 28277
Phone: (704) 384-1890
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JACKSONVILLE DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Charlotte, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JACKSONVILLE DIAGNOSTIC IMAGING LLC NPI is 1144451881. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ncdi-mobile 3.

The provider's business location address is:

14215 BALLANTYNE CORPORATE PL
CHARLOTTE, NC
ZIP 28277-670
Phone: (704) 384-1890

The provider's authorized official is Daniel J Schaefer .
The authorized official title is C.o.o. and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 8/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12881768AMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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