Medical Diagnostic Professional Management

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDICAL DIAGNOSTIC PROFESSIONAL MANAGEMENT

Practice address

8380 Baymeadows Rd Ste 17
Jacksonville, FL 32256-7435

Phone

(904) 440-0998

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Michelle Mothersil

Title

Management

Phone

(904) 440-0998

Specialties & licenses 3

Addresses

Other names 1

• LOGIC DIAGNOSTICS OF JACKSONVILLE Doing business as

Locations

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1780110411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 BAYMEADOWS RD STE 17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567435",
            "telephone_number": "904-440-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 BAYMEADOWS RD STE 17",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567435",
            "telephone_number": "904-440-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC PROFESSIONAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "MOTHERSIL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "904-440-0998"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOGIC DIAGNOSTICS OF JACKSONVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Diagnostic Center of Jacksonville
• Medical Diagnostic Center of Jacksonville
• Medical Diagnostic Center of Jacksonville
• Medical Diagnostic Center of Jacksonville
• Medical Diagnostic Center of Jacksonville
• Medical Examiner'S Office
• Medical Mechanics, Inc.
• Medical MRI Group LLC
• Medical Nutrition Therapy of Florida, Inc.
• Medical Partners of Jacksonville LLC

• Diagnostic Radiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.