The Medical Imaging Partnership-Jax1 LLC

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

Organization subpart

No

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

Addresses

Other names 1

• Precision Imaging Centers Other name

Medicare fee-for-service enrollment

Enrolled in FL3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 3

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

• The Medical Imaging Partnership - Jax1 LLC

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1336915776

  1850482381

  Same PAC ID
• The Medical Imaging Partnership - Jax1 LLC

  • Radiology Clinic/Center
  • Orlando, FL
  • NPI 1659186880

  1850482381

  Same PAC ID
• The Medical Imaging Partnership-Jax1 LLC

  • Radiology Clinic/Center
  • Jacksonville, FL
  • NPI 1306535950

  1850482381

  Same PAC ID

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

CLIA laboratory certificates

Member organizations 1

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

• Precision Imaging St. Augustine, LLC

  • Radiology Clinic/Center
  • St Augustine, FL
  • NPI 1700130010

  Member Of

  NPD member

Locations

Practitioners 27

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

• Adel Abdalla, M.D.

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1497702542
  NPD
• Robert D Burke, M.D.

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1740224666
  NPD
• Mandana Davani, M.D.

  • Diagnostic Radiology Physician
  • Saint Augustine, FL
  • NPI 1003883885
  NPD
• Megan E Deacon-Casey, MD

  • Vascular & Interventional Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1235112517
  NPD
• Joshua Michael Henry, MD

  • Interventional Pain Medicine Physician
  • St Augustine, FL
  • NPI 1710301205
  NPD
• Hassan J Khan, MD

  • Diagnostic Radiology Physician
  • Winter Park, FL
  • NPI 1083877286
  NPD
• Margaret Siu-Foon Loh, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1669438529
  NPD
• Minh Xuan Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1891857611
  NPD
• Anjuli Shah, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1821316845
  NPD
• Sita Shah, MD

  • Diagnostic Radiology Physician
  • Fleming Island, FL
  • NPI 1578536793
  NPD
• Richard Browning Allen, MD

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1407801210
  NPD
• Antonio Granados Alvarez, M.D.

  • Diagnostic Radiology Physician
  • Santa Barbara, CA
  • NPI 1184825416
  NPD

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"
        }
    ]
}

• The LJD Jewish Family & Community Services, Inc
• The Lohad Center for Anti-Aging
• The M.P.H. Life, LLC
• The McCoy Institute of Hearing and Balance,LLC
• The Medical Imaging Partnership - Jax1 LLC
• The Medical Imaging Partnership-Jax1 LLC
• The Medical Imaging Partnership-Jax1 LLC
• The Medical Imaging Partnership-Jax1 LLC
• The Medimix, LLC
• The Meleca'S

• All providers in Jacksonville, FL
• Radiology Clinic/Center in Florida

• 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.