A1Imaging of Orange Park LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

A1IMAGING OF ORANGE PARK LLC

Doing business as

A1 Imaging of Orange Park

Practice address

1566 Kingsley Ave
Orange Park, FL 32073-4511

Phone

(904) 278-2128

Fax

(904) 278-2129

NPI assigned

Jun 5, 2008

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

A1 IMAGING CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Marilyn Radakovic

Title

Coo

Phone

(951) 285-6661

Specialties & licenses 1

Addresses

Other names 1

• A1 Imaging of Orange Park Doing business as

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1053570093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 2ND ST",
            "address_2": "SUITE 915",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365946",
            "telephone_number": "941-315-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734511",
            "telephone_number": "904-278-2128",
            "fax_number": "904-278-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1IMAGING OF ORANGE PARK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A1 IMAGING CENTERS LLC",
        "enumeration_date": "2008-06-05",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "RADAKOVIC",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-285-6661"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 Imaging of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A1 Imaging of Orange Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.