San Jose Imaging Center Llc in Jacksonville - Radiology
San Jose Imaging Center Llc - NPI 1083802805
San Jose Imaging Center Llc is a Radiology in Jacksonville, Florida. San Jose Imaging Center Llc practices all healthcare services and medical treatments related to Radiology. The NPI Number for San Jose Imaging Center Llc is 1083802805. The last update date is 2020-10-05.
San Jose Imaging Center Llc's current location address is 10696 Old Saint Augustine Rd, Jacksonville, Florida. You can contact this provider via phone number 9042681080 and fax number 9042683060. The mailing address for San Jose Imaging Center Llc is 10696 Old Saint Augustine Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Jose Imaging Center Llc |
|---|---|
| Address | 10696 Old Saint Augustine Rd, Jacksonville, Florida |
| Phone Number | 9042681080 |
| Fax Number | 9042683060 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Stanley Paul |
| Telephone Number | 8136905720 |
NPI Number Detail
| NPI Number | 1083802805 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2020-10-05 |
Provider Mailing Address Detail
| Address | 10696 Old Saint Augustine Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322571000 |
| Phone Number | 9042681080 |
| Fax Number | 9042683060 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 261Qr0200X |
|
Definition: Takes images of the body using radiologic techniques to diagnose disease. |
|
Post Comment/ Review Below
What is the San Jose Imaging Center Llc's unique identification number?
The San Jose Imaging Center Llc has been assigned the NPI (National Provider Identifier) Number 1083802805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where San Jose Imaging Center Llc is physically located?
The San Jose Imaging Center Llc is physically situated at the following address: 10696 Old Saint Augustine Rd, Jacksonville, FL, 322571000.
What is the San Jose Imaging Center Llc's specialty and taxonomy code?
The San Jose Imaging Center Llc's specialty is Radiology, and the corresponding taxonomy code is 261Qr0200X.
On what date did the San Jose Imaging Center Llc receive its 1083802805 assignment from the Centers for Medicare & Medicaid Services?
The San Jose Imaging Center Llc was assigned its 1083802805 by the Centers for Medicare & Medicaid Services on 2007-10-05.
When was the information regarding San Jose Imaging Center Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to San Jose Imaging Center Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-05.