Active NPI
The Medical Imaging Partnership-Jax1 LLC
- Radiology Clinic/Center
- Jacksonville, FL
National Provider Identifier
1730009614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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-Jax
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1336915776
-
- Radiology Clinic/Center
- Orlando, FL
- NPI 1659186880
-
- Radiology Clinic/Center
- Jacksonville, FL
- NPI 1306535950
-
- Radiology Clinic/Center
- Jacksonville, FL
- NPI 1679498356
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
- The McCoy Institute of Hearing and Balance,LLC
- The Medical Imaging Partnership - Jax1 LLC
- The Medical Imaging Partnership-Jax1 LLC
- The Medical Imaging Partnership-Jax1 LLC
- The Medical Imaging Partnership-Jax1 LLC
- The Medimix, LLC
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- The Meple Corp
- The Moorehouse Group, Inc.
- The Movement Collective LLC
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.