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MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE NPI 1356331326


NPI Information

NPI: 1356331326
Provider Name: MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE

Doing Business As: SOUTHBANK IMAGING SERVICES

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3550 UNIVERSITY BLVD S
STE 102
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 731-7296
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MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE 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. MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE NPI is 1356331326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southbank Imaging Services.

The provider's business location address is:

3550 UNIVERSITY BLVD S
STE 102
JACKSONVILLE, FL
ZIP 32216-246
Phone: (904) 731-7296
Fax: (904) 636-9875

The provider's authorized official is Nicolau Sacaquini .
The authorized official title is Business Director and has the following contact phone number (904) 731-1556.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 8/22/2020.


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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