Organization · Type 2 NPI

Imaging Center at Lakewood LLC

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1972666113 Active

Practice location

2345 Forbes St
Jacksonville, FL 32204-4311

Fax (904) 391-1604

Mailing address

2301 University Blvd West
Jacksonville, FL 32217-2022

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME59554 (FL)

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

3 other providers at this address

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About NPI 1972666113

Imaging Center at Lakewood LLC's National Provider Identifier is 1972666113, issued on Dec 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 22, 2020.