NPIMap

Organization Active NPI

A1 Imaging Centers LLC

Doing business as A1 Imaging of Mandarin

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1700024692
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC5218 Issued in FL
Legal business name
A1 IMAGING CENTERS LLC
Doing business as
A1 Imaging of Mandarin
Practice address
3753 Cardinal Point Dr
Jacksonville, FL 32257
Phone
(904) 636-5674
Fax
(904) 448-4674
NPI assigned
Jan 30, 2009
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
A1 IMAGING CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Tom Colicchio
Title
Director of Managed Care
Phone
(909) 887-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC5218 FL Primary

Addresses

Primary practice location

3753 Cardinal Point Dr
Jacksonville, FL 32257

Mailing address

2 N Tamiami Trail
Suite 210
Sarasota, FL 34236-5574
Phone (941) 925-3490

Other names 1

  • A1 IMAGING OF MANDARIN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A1 Imaging Centers LLC21 organizations share this tax ID, including this one
Part of
A1 Imaging Centers LLC

Other organizations with this tax ID 20

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

View all 20

Locations

3753 Cardinal Point Dr
Jacksonville, FL 32257
Phone (904) 636-5674

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1700024692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N TAMIAMI TRAIL",
            "address_2": "SUITE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365574",
            "telephone_number": "941-925-3490",
            "fax_number": "941-953-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-636-5674",
            "fax_number": "904-448-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 IMAGING CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A1 IMAGING CENTERS LLC",
        "enumeration_date": "2009-01-30",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "COLICCHIO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "909-887-8788"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 IMAGING OF MANDARIN",
            "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 7, 2011; 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.