Organization Active NPI

Imaging Center at Forbes LLC

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1093878225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME59554 Issued in FL
Legal business name
IMAGING CENTER AT FORBES LLC
Practice address
2345 Forbes St
Jacksonville, FL 32204-4311
Phone
(904) 391-1600
Fax
(904) 391-1604
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edel Edward Franco, MDNPI 1770668725
Title
Medical Director
Phone
(904) 391-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME59554 FL Primary

Addresses

Primary practice location

2345 Forbes St
Jacksonville, FL 32204-4311

Mailing address

2345 Forbes St
Jacksonville, FL 32204-4311
Phone (904) 391-1600

National Provider Directory

National Provider Directory

Locations

2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093878225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 FORBES ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044311",
            "telephone_number": "904-391-1600",
            "fax_number": "904-391-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 FORBES ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044311",
            "telephone_number": "904-391-1600",
            "fax_number": "904-391-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER AT FORBES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "EDEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-391-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME59554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.