NPIMap

Organization Active NPI

The Medical Imaging Partnership-Jax1 LLC

  • Radiology Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1306535950
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
10696 Old Saint Augustine Rd
Jacksonville, FL 32257-1000
Phone
(904) 996-8100
Fax
(904) 389-8699
NPI assigned
May 1, 2023
Organization subpart
Yes
Parent organization
THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLCAs reported in NPPES

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
(843) 384-3512

Specialties & licenses 1

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

Addresses

Primary practice location

10696 Old Saint Augustine Rd
Jacksonville, FL 32257-1000

Mailing address

1540 Business Center Dr Ste B
Fleming Island, FL 32003-4419
Phone (904) 807-5272

Other names 1

  • Precision Imaging Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102001073 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850482381 Practice locations: Jacksonville, FL

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
The Med Img Ptnrshp-Jax5 organizations share this tax ID, including this one
Part of
The Med Img Ptnrshp-Jax

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14444 Beach Blvd
Ste 23
Jacksonville Beach, FL 32250
Phone (904) 297-3848

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1306535950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 BUSINESS CENTER DR STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034419",
            "telephone_number": "904-807-5272",
            "fax_number": "904-389-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 OLD SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571000",
            "telephone_number": "904-996-8100",
            "fax_number": "904-389-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC",
        "enumeration_date": "2023-05-01",
        "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": "843-384-3512"
    },
    "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": "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 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.