RIVERSIDE MEDICAL DIAGNOSTIC AND IMAGING LLC NPI 1336378165

NPI Information

  • NPI: 1336378165
  • Provider Name: RIVERSIDE MEDICAL DIAGNOSTIC AND IMAGING, LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Address: 2151 RIVERSIDE AVE
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 389-6707

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NPI Details

RIVERSIDE MEDICAL DIAGNOSTIC AND IMAGING, LLC is a magnetic resonance imaging (mri) clinic center in Jacksonville, FL. RIVERSIDE MEDICAL DIAGNOSTIC AND IMAGING, LLC NPI is 1336378165. The provider is registered as an organization entity type.

The provider's business location address is:

2151 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204-416
Phone: (904) 389-6707
Fax: (904) 389-6717

The provider's authorized official is Corby Marshall .
The authorized official title is Managing Partner and has the following contact phone number (912) 253-0375.

The enumeration date for this NPI number is 7/14/2009 and was last updated on 9/28/2009.

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
1261QR0200XClinic/CenterRadiologyNo
2261QR0206XClinic/CenterRadiology, MammographyNo
3261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

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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