Active NPI
Regional MRI of Jacksonville
- Diagnostic Radiology Physician
- Jacksonville, FL
National Provider Identifier
1891892493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- REGIONAL MRI OF JACKSONVILLE
- Practice address
- 9872 San Jose Blvd
Jacksonville, FL 32257 - Phone
- (904) 260-2805
- NPI assigned
- Sep 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leslie G Weber
- Title
- Coo
- Phone
- (858) 455-7127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
9872 San Jose Blvd
Jacksonville, FL 32257
Mailing address
PO Box 201672
Dallas, TX 75320-1672
Phone (904) 260-2805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V2688 | Other | FL | BCBS |
| 7012498 | Other | AETNA |
Other names 1
- First Choice Imaging
National Provider Directory
National Provider Directory- Tax ID family
- First Choice Imaging
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1467554303
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1891899142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891892493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201672",
"city": "DALLAS",
"state": "TX",
"postal_code": "753201672",
"telephone_number": "904-260-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9872 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32257",
"telephone_number": "904-260-2805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL MRI OF JACKSONVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "858-455-7127",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V2688",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7012498",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "First Choice Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- Regency Square Mall Dental
- Regenerative Medicine of North Florida LLC
- Reginald L. Sykes, Sr, M.D., P.a.
- Regional Care Transportation LLC
- Regional Consultants in Hematology Oncology, Inc.
- Regional MRI of Jacksonville, Inc.
- Regional MRI of Jacksonville, Inc.
- Regional Obstetric Consultants
- Patrick Alan Regis, FNP-BC
- Stacey Chalyn Regis, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.