LCM IMAGING INC NPI 1033145669

NPI Information

NPI: 1033145669
Provider Name: LCM IMAGING INC

Doing Business As: ADVANCED DIAGNOSTIC GROUP

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
6800 SOUTHPOINT PKWY
SUITE 401
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-8998
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LCM IMAGING INC is a radiology clinic center in Jacksonville, FL. LCM IMAGING INC NPI is 1033145669. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Diagnostic Group.

The provider's business location address is:

6800 SOUTHPOINT PKWY
SUITE 401
JACKSONVILLE, FL
ZIP 32216-257
Phone: (904) 296-8998
Fax: (904) 296-8997

The provider's authorized official is Tiffany D Kemp .
The authorized official title is Director Of Operations and has the following contact phone number (813) 325-1389.

The CLIA number assigned to this NPI record is 10D2236485 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 6/18/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology		FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HN501A	MEDICARE UPIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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