NPIMap

Organization Active NPI

Regional MRI of Jacksonville, Inc.

  • Physiological Laboratory
  • Jacksonville, FL
National Provider Identifier
1891899142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
REGIONAL MRI OF JACKSONVILLE, INC.
Practice address
9759 San Jose Blvd Ste 2
Jacksonville, FL 32257-5418
Phone
(904) 260-4495
Fax
(904) 260-9539
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leslie G. Weber
Title
Coo
Phone
(858) 455-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

9759 San Jose Blvd Ste 2
Jacksonville, FL 32257-5418

Mailing address

9759 San Jose Blvd Ste 2
Jacksonville, FL 32257-5418
Phone (904) 260-4495

Other names 1

  • FIRST CHOICE IMAGING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
First Choice Imaging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891899142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9759 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575418",
            "telephone_number": "904-260-4495",
            "fax_number": "904-260-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9759 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575418",
            "telephone_number": "904-260-4495",
            "fax_number": "904-260-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MRI OF JACKSONVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "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"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST CHOICE IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.