# JACKSONVILLE MOBILE IMAGING SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538167192
- **Authorized official:** MR. DAVID JOHNSON RT. NMT. (PRESIDENT)
- **Authorized official phone:** (904) 545-3591

## Contact information

- **Practice address:** 4237 SALISBURY RD, SUITE 306, JACKSONVILLE, FL 32216-8029
- **Practice address phone:** (904) 296-0353
- **Practice address fax:** (904) 296-9403
- **Mailing address:** 4237 SALISBURY RD, SUITE 306, JACKSONVILLE, FL 32216-8029
- **Mailing address phone:** (904) 296-0353
- **Mailing address fax:** (904) 296-9403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | HCC3853 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 04/15/2008
