First Coast Imaging LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0052228 Issued in FL

Legal business name

FIRST COAST IMAGING LLC

Doing business as

Jacksonville Upright MRI

Practice address

4933 University Blvd W
Jacksonville, FL 32216-5935

Phone

(904) 733-7800

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Juan C. Luis-Jorge, M.D.

Title

Medical Director

Phone

(904) 733-3700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jacksonville Upright MRI Doing business as

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1811923550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165935",
            "telephone_number": "904-733-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165935",
            "telephone_number": "904-733-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "LUIS-JORGE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-733-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0052228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00428579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "303823",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "V3100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Upright MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• First Coast Foot & Ankle Clinic Inc
• First Coast FS, LLC
• First Coast Health Ventures, LLC
• First Coast Heart & Vascular Center, PA
• First Coast Hospitalist P L
• First Coast Infectious Disease Consultants LLC
• First Coast Laboratories
• First Coast LTC Inc
• First Coast Medical Associates LLC
• First Coast Medical Center Inc

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.