NPIMap

Organization Active NPI

LCM Imaging Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1033145669
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LCM IMAGING INC
Practice address
4933 University Blvd W Ste 1
Jacksonville, FL 32216-5935
Phone
(904) 733-7800
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Greg Gambill
Title
Ao
Phone
(904) 733-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

4933 University Blvd W Ste 1
Jacksonville, FL 32216-5935

Mailing address

607 W Martin Luther King Jr Blvd,
Suite 103
Tampa, FL 33603-3453
Phone (813) 463-4444

Other names 1

  • ADVANCED DIAGNOSTIC GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130911000770 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1951294370 Practice locations: Jacksonville, FL
O20230711003904 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1951294370 Practice locations: Jacksonville Beach, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4933 University Blvd W
#1
Jacksonville, FL 32216
Phone (904) 296-8998

2386 Dunn Ave
Ste 101
Jacksonville, FL 32218
Phone (904) 421-3827

6800 Southpoint Pkwy
Ste 401
Jacksonville, FL 32216
Phone (904) 296-8998

22299 State Road 54
Ste 104
Lutz, FL 33549
Phone (813) 328-2020

1465 Kingsley Ave
Ste 1404
Orange Park, FL 32073
Phone (904) 458-0141

6388 Silver Star Rd
Ste 1A
Orlando, FL 32818
Phone (407) 298-2829

775 N Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 581-4099

607 W Dr Martin Luther King Jr Blvd
Ste 103
Tampa, FL 33603
Phone (813) 238-3833

7701 Southern Blvd
Ste 210
West Palm Beach, FL 33411
Phone (561) 295-1558

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1033145669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W MARTIN LUTHER KING JR BLVD,",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033453",
            "telephone_number": "813-463-4444",
            "fax_number": "813-849-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 UNIVERSITY BLVD W STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165935",
            "telephone_number": "904-733-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCM IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "GAMBILL",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "904-733-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DIAGNOSTIC GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.