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Contact Information

ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC
5210 BELFORT RD
STE 130
JACKSONVILLE, FL32256-6024
 Phone: 904-470-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Neuroimaging

2085D0003X
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC

NPI # 1538333117
LBN Legal business name ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC
Authorized official MICHAEL FAGIEN - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2008
Last updated 06/03/2008 - About 18 years ago
Identifiers
FL License # ME59548
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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