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SUMMERLIN IMAGING CENTER LLC NPI 1316596471


NPI Information

NPI: 1316596471
Provider Name: SUMMERLIN IMAGING CENTER LLC

Other Name: JACKSONVILLE DIAGNOSTIC IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3550 UNIVERSITY BLVD S STE 102
JACKSONVILLE, FL
ZIP 32216
Phone: (561) 331-0808
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SUMMERLIN IMAGING CENTER LLC is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SUMMERLIN IMAGING CENTER LLC NPI is 1316596471. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jacksonville Diagnostic Imaging.

The provider's business location address is:

3550 UNIVERSITY BLVD S STE 102
JACKSONVILLE, FL
ZIP 32216-227
Phone: (561) 331-0808

The provider's authorized official is Bradford G Peters .
The authorized official title is Financial Officer and has the following contact phone number (561) 331-0808.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 3/27/2020.


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

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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