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MEDICAL DIAGNOSTIC PROFESSIONAL MANAGEMENT NPI 1780110411


NPI Information

NPI: 1780110411
Provider Name: MEDICAL DIAGNOSTIC PROFESSIONAL MANAGEMENT

Doing Business As: LOGIC DIAGNOSTICS OF JACKSONVILLE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8380 BAYMEADOWS RD STE 17
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 440-0998
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MEDICAL DIAGNOSTIC PROFESSIONAL MANAGEMENT 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 PROFESSIONAL MANAGEMENT NPI is 1780110411. The provider is registered as an organization entity type.
The provider Is Doing Business As Logic Diagnostics Of Jacksonville.

The provider's business location address is:

8380 BAYMEADOWS RD STE 17
JACKSONVILLE, FL
ZIP 32256-435
Phone: (904) 440-0998

The provider's authorized official is Michelle Mothersil .
The authorized official title is Management and has the following contact phone number (904) 440-0998.

The enumeration date for this NPI number is 5/1/2017 and was last updated on 10/26/2017.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0208XClinic/CenterRadiology, MobileNo
32085R0202XRadiologyDiagnostic 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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