PROFESSIONAL DIAGNOSTIC READING MRI INC. (NPI# 1922396779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922396779 |
Entity Type | Organization |
Organization Name | PROFESSIONAL DIAGNOSTIC READING MRI INC. |
Other Organization Name | ADVANCED MRI DIAGNOSTICS |
Practice Address |
3728 Phillips Hwy Ste34 Jacksonville FL 32207-9300 |
Practice Telephone | 9043992500 |
Practice Fax Number | 9043992495 |
Mailing Telephone | 9043992500 |
Mailing Fax Number | 9043992495 |
Enumeration Date | 2011-07-14 |
Last Update Date | 2013-02-27 |
Authorized Official Name | JOSE VIVAS (CFO) |
Authorized Official Telephone | 9043992500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0200X |
Clinic/Center Specialization: Radiology |
1000032322 | FL | Ambulatory Health Care Facilities |
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
1000032322 | FL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Advanced MRI Diagnostics | Doing Business As Name - Organization |
Street Address |
3728 PHILLIPS HWY STE34 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207-9300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740273838 | Jacksonville Resources Inc | Radiology | 3728 Phillips Hwy, Ste 34, Jacksonville, FL 32207-9300 | 2005-08-24 |
1003126574 | Gsw Clinic, LLC | Chiropractor | 3728 Phillips Hwy, Suite 13, Jacksonville, FL 32207-9300 | 2010-10-18 |
1518298553 | Britney Buck Gray | Physical Therapist | 3728 Phillips Hwy, Suite 215a, Jacksonville, FL 32207-9300 | 2010-01-14 |
1164678199 | Shirley & Associates Chartered | Orthopaedic Surgery | 3728 Phillips Hwy, Suite 214a, Jacksonville, FL 32207-9300 | 2008-08-11 |
1265614465 | Shirley & Associates Chartered Inc. | Durable Medical Equipment & Medical Supplies | 3728 Phillips Hwy, Suite 214a, Jacksonville, FL 32207-9300 | 2007-11-29 |
1750591152 | Robert Brent Brown | Pharmacist | 3728 Phillips Hwy, Suite 220, Jacksonville, FL 32207-9300 | 2007-05-23 |
1770792343 | Alan Keith Galloway | Pharmacist | 3728 Phillips Hwy, Suite 220, Jacksonville, FL 32207-9300 | 2007-05-21 |
1700099017 | Southeastern Neuroscience Institute Pa | Specialist | 3728 Phillips Hwy, Suite 31, Jacksonville, FL 32207-9300 | 2007-05-07 |
1003944588 | Infusion Technologies Inc | Pharmacy | 3728 Phillips Hwy, Ste. 212, Jacksonville, FL 32207-9300 | 2007-02-28 |
1770665556 | Infusion Technologies Inc | Pharmacy | 3728 Phillips Hwy, Ste. 212, Jacksonville, FL 32207-9300 | 2006-10-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
Find all providers in zip 32207 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1780110411 | Medical Diagnostic Professional Management | Clinic/Center | 8380 Baymeadows Rd Ste 17, Jacksonville, FL 32256-7435 | 2017-05-01 |
1881691020 | Premier Open Mri Center, L.c. | Clinic/Center | 916 Dante Pl, Jacksonville, FL 32207-8419 | 2005-07-01 |
1326041575 | Medfund LLC | Clinic/Center | 6349 Beach Blvd, Ste 1a, Jacksonville, FL 32216-2756 | 2005-05-23 |
1952304057 | Medfund LLC | Clinic/Center | 3753 Cardinal Point Dr, Jacksonville, FL 32257-5582 | 2005-05-23 |
1396362315 | Qualcare Medical Group, Inc | Clinic/Center | 9822 Tapestry Park Cir Ste 201, Jacksonville, FL 32246-9260 | 2020-06-26 |
1467818021 | Global Diagnostic Imaging Centers, Inc | Clinic/Center | 6349 Beach Blvd, Suite 2, Jacksonville, FL 32216-2707 | 2016-01-12 |
1588070627 | A1 Imaging of Spring Park, LLC | Clinic/Center | 5562 Spring Park Rd, Jacksonville, FL 32216-5549 | 2014-07-09 |
1154690550 | Medical Mri Group LLC | Clinic/Center | 7999 Philips Hwy, Suite 311, Jacksonville, FL 32256-4443 | 2011-12-14 |
1700024692 | A1 Imaging Centers LLC | Clinic/Center | 3753 Cardinal Point Dr, Jacksonville, FL 32257 | 2009-01-30 |
1124287990 | A1 Imaging of Jacksonville LLC | Clinic/Center | 6349 Beach Blvd, Suite 1a, Jacksonville, FL 32216-2707 | 2008-06-05 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.