NPIMap

Organization Active NPI

Jacksonville Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1801718168
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
JACKSONVILLE IMAGING CENTER, LLC
Practice address
7540 Gate Pkwy Ste 111
Jacksonville, FL 32256-3104
Phone
(305) 273-4641
Fax
(305) 631-7680
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Monica Muniz
Title
Credentialing Specialist
Phone
(305) 273-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

7540 Gate Pkwy Ste 111
Jacksonville, FL 32256-3104

Mailing address

7540 Gate Pkwy Ste 111
Jacksonville, FL 32256-3104
Phone (324) 587-6499

National Provider Directory

National Provider Directory
Tax ID family
Doral Beach OBGYN LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

7540 Gate Pkwy
Ste 111
Jacksonville, FL 32256

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1801718168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 GATE PKWY STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563104",
            "telephone_number": "324-587-6499",
            "fax_number": "324-587-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 GATE PKWY STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563104",
            "telephone_number": "305-273-4641",
            "fax_number": "305-631-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "305-273-4641"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic 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 Aug 3, 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.