Active NPI
Precision Wave Imaging PLLC
- Sonography Radiologic Technologist
- Jacksonville, FL
National Provider Identifier
1710834692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- PRECISION WAVE IMAGING PLLC
- Practice address
- 3967 Lane Ave S
Jacksonville, FL 32210-4809 - Phone
- (404) 465-4881
- NPI assigned
- Mar 11, 2026
- Organization subpart
- Yes
- Parent organization
- PRECISION WAVE HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Carter, RDMS, RVT
- Title
- Manager
- Phone
- (404) 465-4881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | |||
| Sonography Radiologic Technologist | 2471S1302X | Primary | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X |
Addresses
Primary practice location
3967 Lane Ave S
Jacksonville, FL 32210-4809
Mailing address
3967 Lane Ave S
Jacksonville, FL 32210-4809
Phone (404) 465-4881
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Radiologic Technologist
- Jacksonville, FL
- NPI 1669329637
Specialist/Technologist Cardiovascular
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1710834692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3967 LANE AVE S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104809",
"telephone_number": "404-465-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3967 LANE AVE S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104809",
"telephone_number": "404-465-4881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION WAVE IMAGING PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRECISION WAVE HOLDINGS LLC",
"enumeration_date": "2026-03-11",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "404-465-4881",
"authorized_official_credential": "RDMS, RVT"
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist Cardiovascular",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.