Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SAN JOSE IMAGING CENTER LLC
Active
Organization
SAN JOSE IMAGING CENTER LLC
Active
Other names
Innovative Imaging Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL STANLEY (CEO)
(813) 690-5720
Entity
Organization
Contact information
Practice address
10696 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257-1000
(904) 268-1080
(904) 268-3060
Mailing address
PO BOX 270543, TAMPA, FL 33688-0543
(850) 478-1312
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up