Park Avenue Imaging
LBN: Summerlin Imaging Center Llc
Park Avenue Imaging is an health care organization with primary practice located at 2128 Park Ave , Orange Park FL 32073. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Summerlin Imaging Center Llc can be contacted via phone (904) 375-8884, or through Peters, Bradford via phone (561) 331-0808.
Contact Information
Primary practice address
2128 Park Ave
Orange Park FL 32073
Phone: (904) 375-8884
Fax: (904) 375-8887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
NPI number | 1720536154 |
---|---|
LBN Legal business name | Summerlin Imaging Center Llc |
DBA Doing business as | Park Avenue Imaging |
Authorized official | Peters, Bradford |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 14th, 2016 |
Last updated | Aug 25th, 2020 - about 5 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 | 1720536154 | NPPES |
Florida | Other | HCC10650 | AHCC LICENSE |
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