Organization Active NPI

A1 Imaging of Mandarin LLC

Doing business as A1 Imaging of Mandarin

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1750549804
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
A1 IMAGING OF MANDARIN 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
May 27, 2008
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
A1 IMAGING CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Marilyn Radakovic
Title
Coo
Phone
(951) 285-6661

Specialties & licenses 1

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

Addresses

Primary practice location

3753 Cardinal Point Dr
Jacksonville, FL 32257

Mailing address

1800 2ND St
Suite 915
Sarasota, FL 34236-5946
Phone (941) 315-9876

Other names 1

  • A1 Imaging of Mandarin Doing business as

National Provider Directory

National Provider Directory
Part of
A1 Imaging Centers LLC

Locations

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

3753 Cardinal Point Dr
Unit 2
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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1750549804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 2ND ST",
            "address_2": "SUITE 915",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365946",
            "telephone_number": "941-315-9876"
        },
        {
            "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 OF MANDARIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A1 IMAGING CENTERS LLC",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "RADAKOVIC",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "951-285-6661"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "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 Dec 4, 2014; 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.