NPIMap

Organization Active NPI

The Medical Imaging Partnership-Jax1 LLC

Doing business as Precision Imaging Centers

  • Radiology Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1104849280
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC
Practice address
7860 Gate Parkway
Suite 123
Jacksonville, FL 32256-7279
Phone
(904) 996-8100
Fax
(904) 996-8101
NPI assigned
Jul 26, 2006
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Joshua Hammond
Title
Ceo
Phone
(904) 996-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7860 Gate Parkway
Suite 123
Jacksonville, FL 32256-7279

Mailing address

PO Box 96454
Charlotte, NC 28296-0454
Phone (904) 996-8100

Other practice location 1

1540 Business Center Dr Ste B
Orange Park, FL 32003-4419
Phone (904) 996-8100

Other practice location 2

14444 Beach Blvd Ste 23
Jacksonville, FL 32250-2079
Phone (904) 996-8100

Other names 1

  • Precision Imaging Centers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070813000187 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850482381 Practice locations: Jacksonville, FL
O20150604001989 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850482381 Practice locations: Jacksonville, FL
O20180105001429 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850482381 Practice locations: Fleming Island, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2002815The Medical Imaging Partnership7860 Gate Pkwy Ste 123, Jacksonville, FL 32256Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7860 Gate Pkwy
Ste 123
Jacksonville, FL 32256
Phone (904) 471-9633

1540 Business Center Dr
Ste B
Orange Park, FL 32003
Phone (904) 807-5272

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1104849280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96454",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282960454",
            "telephone_number": "904-996-8100",
            "fax_number": "904-389-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 GATE PARKWAY",
            "address_2": "SUITE 123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567279",
            "telephone_number": "904-996-8100",
            "fax_number": "904-996-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Business Center Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320034419",
            "country_code": "US",
            "telephone_number": "904-996-8100",
            "fax_number": "904-389-8699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14444 Beach Blvd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322502079",
            "country_code": "US",
            "telephone_number": "904-996-8100",
            "fax_number": "904-389-8699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-996-8100"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Imaging Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precision Imaging Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.