MONUMENT-9A IMAGING & DIAGNOSTIC CENTER L L C NPI 1558375469

NPI Information

  • NPI: 1558375469
  • Provider Name: MONUMENT-9A IMAGING & DIAGNOSTIC CENTER L L C
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 10D2307423
  • Address: 1201 MONUMENT RD STE 101
    JACKSONVILLE, FL
    ZIP 32225
  • Phone: (904) 855-0700

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NPI Details

MONUMENT-9A IMAGING & DIAGNOSTIC CENTER L L C is a radiology clinic center in Jacksonville, FL. MONUMENT-9A IMAGING & DIAGNOSTIC CENTER L L C NPI is 1558375469. The provider is registered as an organization entity type.

The provider's business location address is:

1201 MONUMENT RD STE 101
JACKSONVILLE, FL
ZIP 32225-494
Phone: (904) 855-0700
Fax: (904) 855-0739

The provider's authorized official is Juan C Luis-jorge .
The authorized official title is Medical Director and has the following contact phone number (904) 855-0700.

The CLIA number assigned to this NPI record is 10D2307423 - other - diagnostic imaging with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/7/2008.

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/CenterRadiologyHCC5351FLORIDAYes

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
1E5132MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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