PROFESSIONAL DIAGNOSTIC READING MRI INC.


Address: 3728 Phillips Hwy, Ste34, Jacksonville, FL 32207-9300
Phone: 9043992500

PROFESSIONAL DIAGNOSTIC READING MRI INC. (NPI# 1922396779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922396779
Entity Type Organization
Organization Name PROFESSIONAL DIAGNOSTIC READING MRI INC.
Other Organization Name ADVANCED MRI DIAGNOSTICS
Practice Address 3728 Phillips Hwy
Ste34
Jacksonville
FL 32207-9300
Practice Telephone 9043992500
Practice Fax Number 9043992495
Mailing Telephone 9043992500
Mailing Fax Number 9043992495
Enumeration Date 2011-07-14
Last Update Date 2013-02-27
Authorized Official Name JOSE VIVAS (CFO)
Authorized Official Telephone 9043992500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
1000032322 FL Ambulatory Health Care Facilities
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
1000032322 FL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Advanced MRI Diagnostics Doing Business As Name - Organization

Office Location

Street Address 3728 PHILLIPS HWY
STE34
City JACKSONVILLE
State FL
Zip Code 32207-9300

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NPI Name Taxonomy Address Enumeration
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1265614465 Shirley & Associates Chartered Inc. Durable Medical Equipment & Medical Supplies 3728 Phillips Hwy, Suite 214a, Jacksonville, FL 32207-9300 2007-11-29
1750591152 Robert Brent Brown Pharmacist 3728 Phillips Hwy, Suite 220, Jacksonville, FL 32207-9300 2007-05-23
1770792343 Alan Keith Galloway Pharmacist 3728 Phillips Hwy, Suite 220, Jacksonville, FL 32207-9300 2007-05-21
1700099017 Southeastern Neuroscience Institute Pa Specialist 3728 Phillips Hwy, Suite 31, Jacksonville, FL 32207-9300 2007-05-07
1003944588 Infusion Technologies Inc Pharmacy 3728 Phillips Hwy, Ste. 212, Jacksonville, FL 32207-9300 2007-02-28
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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