Saint Augustine Imaging Center

LBN: East Central Florida Outpatient Imaging, Llc
Saint Augustine Imaging Center is an health care organization with primary practice located at 190 Southpark Blvd Suite 101, St Augustine FL 32086-4120. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. East Central Florida Outpatient Imaging, Llc can be contacted via phone (904) 829-0764, or through Falco, Al via phone (386) 274-7118.

Contact Information

Primary practice address
190 Southpark Blvd Suite 101 St Augustine FL 32086-4120
Phone: (904) 829-0764
Fax: (904) 829-2221
Website:
Map and Directions
Authorized official contact:
Name: Falco, Al
Phone: (386) 274-7118

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X Florida
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Florida
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X Florida

Profile Details

NPI number 1760424071
LBN Legal business name East Central Florida Outpatient Imaging, Llc
DBA Doing business as Saint Augustine Imaging Center
Authorized official Falco, Al
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760424071 NPPES
Florida Other V2739 BLUE CROSS

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