Active NPI
Lower Keys Radiology Inc
- Diagnostic Radiology Physician
- Jacksonville, FL
National Provider Identifier
1336809557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LOWER KEYS RADIOLOGY INC
- Practice address
- 8375 Dix Ellis TRL Ste 201
Jacksonville, FL 32256-8241 - Phone
- (904) 399-5550
- Fax
- (904) 346-4334
- NPI assigned
- Dec 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharlee Lebleu
- Title
- Vice President
- Phone
- (480) 321-7026
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
8375 Dix Ellis TRL Ste 201
Jacksonville, FL 32256-8241
Mailing address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1336809557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 UTAH AVE STE 200",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8375 DIX ELLIS TRL STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568241",
"telephone_number": "904-399-5550",
"fax_number": "904-346-4334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWER KEYS RADIOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "LEBLEU",
"authorized_official_first_name": "SHARLEE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "480-321-7026"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.