SIGNET DIAGNOSTIC IMAGING SERVICES NORTH FLORIDA LLC NPI 1750405114

NPI Information

NPI: 1750405114
Provider Name: SIGNET DIAGNOSTIC IMAGING SERVICES NORTH FLORIDA LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4171 ROOSEVELT BLVD
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 389-7474
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SIGNET DIAGNOSTIC IMAGING SERVICES NORTH FLORIDA LLC is a radiology clinic center in Jacksonville, FL. SIGNET DIAGNOSTIC IMAGING SERVICES NORTH FLORIDA LLC NPI is 1750405114. The provider is registered as an organization entity type.

The provider's business location address is:

4171 ROOSEVELT BLVD
JACKSONVILLE, FL
ZIP 32210-837
Phone: (904) 389-7474
Fax: (904) 389-5399

The provider's authorized official is Dianne Elizabeth Houston .
The authorized official title is Credentialing Coordinator and has the following contact phone number (954) 577-5836.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U1919B	MEDICARE PIN	FLORIDA
2	U1919	MEDICARE PIN	FLORIDA
3	U1919A	MEDICARE PIN	FLORIDA
4	U1919C	MEDICARE PIN	FLORIDA
5	U1919D	MEDICARE PIN	FLORIDA
6	U1919E	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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