Organization Active NPI

The Medical Imaging Partnership-Jax1 LLC

  • Radiology Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1730009614
Registry record updated Jul 20, 2026
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
14043 N Main St Ste 109
Jacksonville, FL 32218-1707
Phone
(904) 996-8100
Fax
(904) 996-8101
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Beth Niewiadomski
Title
Dir., Revenue Cycle
Phone
(330) 495-1128

Specialties & licenses 1

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

Addresses

Primary practice location

14043 N Main St Ste 109
Jacksonville, FL 32218-1707

Mailing address

1540 Business Center Dr Ste B
Fleming Island, FL 32003-4419
Phone (330) 495-1128

National Provider Directory

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

Other organizations with this tax ID 4

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

Locations

14043 N Main St
Ste 109
Jacksonville, FL 32218

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1730009614",
    "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": "330-495-1128",
            "fax_number": "904-389-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14043 N MAIN ST STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181707",
            "telephone_number": "904-996-8100",
            "fax_number": "904-996-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "NIEWIADOMSKI",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIR., REVENUE CYCLE",
        "authorized_official_telephone_number": "330-495-1128"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 20, 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.

Verify at the official NPI Registry.