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JACKSONVILLE MOBILE IMAGING SERVICES INC NPI 1043233380


NPI Information

NPI: 1043233380
Provider Name: JACKSONVILLE MOBILE IMAGING SERVICES INC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
4237 SALISBURY RD
SUITE 306
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 296-0353
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JACKSONVILLE MOBILE IMAGING SERVICES INC is a physiological laboratory in Jacksonville, FL. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. JACKSONVILLE MOBILE IMAGING SERVICES INC NPI is 1043233380. The provider is registered as an organization entity type.

The provider's business location address is:

4237 SALISBURY RD
SUITE 306
JACKSONVILLE, FL
ZIP 32216-029
Phone: (904) 296-0353
Fax: (904) 296-9403

The provider's authorized official is David Johnson .
The authorized official title is President and has the following contact phone number (904) 296-0353.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/12/2013.


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
1261QR0208XClinic/CenterRadiology, MobileHCC3853FLORIDANo
2293D00000XPhysiological LaboratoryHCC3853FLORIDAYes

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
1606011OTHERFLORIDAPRINCIPAL
2630000562OTHERFLORIDARAILROAD MEDICARE
3U1227MEDICARE ID-TYPE UNSPECIFIEDFLORIDAIDTF MOBILE ULTRASOUND
4PIN#1365 102533OTHERFLORIDAAVMED

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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