Specialty Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC8217 Issued in FL

Legal business name

SPECIALTY IMAGING, LLC

Practice address

3716 University Blvd S Ste 2
Jacksonville, FL 32216-4318

Phone

(904) 329-4877

Fax

(904) 329-4878

NPI assigned

Apr 22, 2011

Last updated

Jun 14, 2011By 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. Pamela Williams

Title

Director of Operations

Phone

(904) 655-5661

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott David Wiedenmann, M.D.

  • Diagnostic Radiology Physician
  • Ponte Vedra Beach, FL
  • NPI 1245340744
  NPD (past)
• Gurvan E. Blackman, MD

  • Vascular & Interventional Radiology Physician
  • Hamilton, NJ
  • NPI 1215099833
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1891086070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BLVD S STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164318",
            "telephone_number": "904-329-4877",
            "fax_number": "904-329-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 UNIVERSITY BLVD S STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164318",
            "telephone_number": "904-329-4877",
            "fax_number": "904-329-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "904-655-5661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC8217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Hearts Supports & Services,LLC
• Special Methods in Life Enrichment Services LLC
• Specialized Health LLC
• Specialized Workcomp Services, LLC
• Specialty Hospital (HCA Florida Memorial Hospital)
• Speech & Hearing Center, Inc
• Speech & Hearing Center, Inc.
• Speech & Hearing Center, Inc.
• Speech & Such Therapy Services LLC
• Speech Language Pros LLC (Speech Language Pros)

• 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 Jun 14, 2011; 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.