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DRS. MCCLOW CLARK & BERK PA NPI 1316694011


NPI Information

NPI: 1316694011
Provider Name: DRS. MCCLOW, CLARK & BERK PA

Doing Business As: MCB RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4203 BELFORT RD STE 103
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 733-7770
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DRS. MCCLOW, CLARK & BERK PA 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. DRS. MCCLOW, CLARK & BERK PA NPI is 1316694011. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcb Radiology.

The provider's business location address is:

4203 BELFORT RD STE 103
JACKSONVILLE, FL
ZIP 32216-411
Phone: (904) 733-7770

The provider's authorized official is Ario Rezaei .
The authorized official title is President and has the following contact phone number (904) 388-6949.

The enumeration date for this NPI number is 3/3/2022 and was last updated on 8/15/2023.


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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