Signet Diagnostic Imaging Services North Florida LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SIGNET DIAGNOSTIC IMAGING SERVICES NORTH FLORIDA LLC

Practice address

4171 Roosevelt Blvd
Jacksonville, FL 32210-1837

Phone

(904) 389-7474

Fax

(904) 389-5399

NPI assigned

Mar 19, 2007

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dianne Elizabeth Houston

Title

Credentialing Coordinator

Phone

(954) 577-5836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1750405114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SOUTH BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015027",
            "telephone_number": "516-933-2800",
            "fax_number": "516-822-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101837",
            "telephone_number": "904-389-7474",
            "fax_number": "904-389-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNET DIAGNOSTIC IMAGING SERVICES NORTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "954-577-5836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Signorile
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• Radiology Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.