Southside Medical Imaging
LBN: Jacksonville Beaches Medical Imaging Inc
Southside Medical Imaging is an health care organization with primary practice located at 6138 Kennerly Rd Suite 101, Jacksonville FL 32216-4345. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty.
Jacksonville Beaches Medical Imaging Inc can be contacted via phone (904) 733-7770, or through Blaese, Cathy via phone (904) 241-7772.
Contact Information
Primary practice address
6138 Kennerly Rd Suite 101
Jacksonville FL 32216-4345
Phone: (904) 733-7770
Fax: (904) 733-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | HCCR1418 | Florida |
Profile Details
| NPI number | 1568459055 |
|---|---|
| LBN Legal business name | Jacksonville Beaches Medical Imaging Inc |
| DBA Doing business as | Southside Medical Imaging |
| Authorized official | Blaese, Cathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Oct 2nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568459055 | NPPES |
| Florida | Other | 1840590 | 1ST HEALTH PROVIDER |
| Florida | Other | 7842141 | 1ST HEALTH PROVIDER |
| Florida | Other | V2499 | 1ST HEALTH PROVIDER |
| Florida | Other | 2052827 | 1ST HEALTH PROVIDER |
| Florida | Other | 470001168 | 1ST HEALTH PROVIDER |
| Florida | Other | 147878601 | 1ST HEALTH PROVIDER |
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