# A1 IMAGING OF ST AUGUSTINE LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** A1 IMAGING CENTERS LLC
- **Other names:** A1 IMAGING OF ST AUGUSTINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124266010
- **Legal business name:** A1 IMAGING CENTERS LLC
- **Authorized official:** MARILYN RADAKOVIC (COO)
- **Authorized official phone:** (951) 285-6661

## Contact information

- **Practice address:** 200 SOUTHPARK BLVD, STE 210, ST AUGUSTINE, FL 32086-3101
- **Practice address phone:** (904) 819-0920
- **Practice address fax:** (904) 819-0299
- **Mailing address:** 1800 2ND ST, SUITE 915, SARASOTA, FL 34236-5946
- **Mailing address phone:** (941) 315-9876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | HCC7757 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 12/04/2014