DIAGNOSTIC IMAGING PA NPI 1285870089

NPI Information

  • NPI: 1285870089
  • Provider Name: DIAGNOSTIC IMAGING PA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1052 PONTE VEDRA BLVD
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 551-0703

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NPI Details

DIAGNOSTIC IMAGING PA is a diagnostic radiology radiology in Ponte Vedra Beach, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DIAGNOSTIC IMAGING PA NPI is 1285870089. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1052 PONTE VEDRA BLVD
PONTE VEDRA BEACH, FL
ZIP 32082-015
Phone: (904) 551-0703
Fax: (904) 551-0709

The provider's authorized official is Shahid M Nasir .
The authorized official title is President and has the following contact phone number (904) 629-6733.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 10/7/2021.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000703600MEDICAIDFLORIDA

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: 11/21/2025

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