Imaging Center at Lakewood LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME59554 Issued in FL

Legal business name

IMAGING CENTER AT LAKEWOOD LLC

Practice address

2345 Forbes St
Jacksonville, FL 32204-4311

Phone

(904) 391-1600

Fax

(904) 391-1604

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By 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

Edel Edward Franco, MDNPI 1770668725

Title

Medical Director

Phone

(904) 391-1600

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edel Edward Franco, MD PA

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1770668725
  Authorized official Same address or phone

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972666113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 UNIVERSITY BLVD WEST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172022",
            "telephone_number": "904-448-2299",
            "fax_number": "904-448-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 FORBES ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044311",
            "telephone_number": "904-391-1600",
            "fax_number": "904-391-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING CENTER AT LAKEWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "EDEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-391-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME59554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter O Im, O.D.
• Ima Evaluations
• Ima Evaluations
• Imagine Medical International LLC (Imagine Medical International)
• Imaging Center at Forbes LLC
• Imaging Services of Jacksonville LLC
• Hussain S Imam, MD
• Talat Imam, MD
• Erica Imaoka, DNP
• David Mathew Imbt, M.D.

• Diagnostic Radiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Diagnostic Radiology Physician in Florida

• 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.