SPECIALTY IMAGING, LLC (NPI# 1891086070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891086070 |
| Entity Type | Organization |
| Organization Name | SPECIALTY IMAGING, LLC |
| Practice Address |
3716 University Blvd S Ste 2 Jacksonville FL 32216-4318 |
| Practice Telephone | 9043294877 |
| Practice Fax Number | 9043294878 |
| Mailing Telephone | 9043294877 |
| Mailing Fax Number | 9043294878 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | MRS. PAMELA WILLIAMS (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9046555661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
HCC8217 | FL | Ambulatory Health Care Facilities |
| Street Address |
3716 UNIVERSITY BLVD S STE 2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982875217 | Medical Diagnostic Center of Jacksonville | Clinic/Center | 3716 University Blvd S Ste 2, Jacksonville, FL 32216-4318 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487934311 | Gate Parkway Diagnostic Center Inc | Clinic/Center | 8075 Gate Pkwy W Ste 302, Jacksonville, FL 32216-3685 | 2011-08-23 |
| 1982875217 | Medical Diagnostic Center of Jacksonville | Clinic/Center | 3716 University Blvd S Ste 2, Jacksonville, FL 32216-4318 | 2008-03-14 |
| 1083802805 | San Jose Imaging Center LLC | Clinic/Center | 10696 Old Saint Augustine Rd, Jacksonville, FL 32257-1000 | 2007-10-05 |
| 1750405114 | Signet Diagnostic Imaging Services North Florida LLC | Clinic/Center | 4171 Roosevelt Blvd, Jacksonville, FL 32210-1837 | 2007-03-19 |
| 1225138787 | Radiology Health Imaging, LLC | Clinic/Center | 12404 Hatton Chase Lane West, Jacksonville, FL 32258 | 2006-09-25 |
| 1558375469 | Monument-9a Imaging & Diagnostic Center L L C | Clinic/Center | 1201 Monument Rd Ste 101, Jacksonville, FL 32225-6494 | 2006-07-28 |
| 1104849280 | The Medical Imaging Partnership Jax1 LLC | Clinic/Center | 7860 Gate Parkway, Suite 123, Jacksonville, FL 32256-7279 | 2006-07-26 |
| 1821050923 | Omi of Jacksonville Inc | Clinic/Center | 3716 University Blvd South, Jacksonville, FL 32216 | 2006-04-04 |
| 1538159819 | Allied Mobile Sono, Inc. | Clinic/Center | 3545 Saint Johns Bluff Rd S, Suite 1 # 274, Jacksonville, FL 32224-2682 | 2005-10-26 |
| 1568459055 | Jacksonville Beaches Medical Imaging Inc | Clinic/Center | 6138 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4345 | 2005-09-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on SPECIALTY IMAGING, LLC.
| 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.