Organization · Type 2 NPI

Medical Diagnostic Center of Jacksonville

Radiology Clinic/Center · Jacksonville, FL

NPI number 1982875217 Active

Practice location

3716 University Blvd S Ste 2
Jacksonville, FL 32216-4318

Call (904) 446-9093 Map

Fax (904) 446-9095

Mailing address

PO Box 5606
Jacksonville, FL 32247-5606

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

Another provider at this address

Specialty Imaging, LLCRadiology Clinic/Center Jacksonville, FL NPI 1891086070

Other radiology clinic/center providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1982875217
Entity type: Organization (Type 2)
Issued: Mar 14, 2008
Last updated: Nov 10, 2008
Status: Active
Subpart: Yes of Medical Diagnostic Center of Jacksonville

Other names

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Medical Diagnostic Center of Jacksonville · other name

Authorized official

Keesha Compton
Billing Supervisor
(904) 731-1556

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982875217

Medical Diagnostic Center of Jacksonville's National Provider Identifier is 1982875217, issued on Mar 14, 2008. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 10, 2008.