Organization · Type 2 NPI

Jacksonville Diagnostic Imaging LLC

Diagnostic Radiology Physician · Jacksonville, NC

NPI number 1104874387 Active

Practice location

3606 Henderson Dr
Jacksonville, NC 28546-5217

Fax (910) 937-0064

Mailing address

PO Box 933393
Atlanta, GA 31193-0001

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104874387

Jacksonville Diagnostic Imaging LLC's National Provider Identifier is 1104874387, issued on May 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, NC. The record was last updated on Mar 19, 2024.