# PROFESSIONAL DIAGNOSTIC READING MRI INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced MRI Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922396779
- **Authorized official:** JOSE VIVAS (CFO)
- **Authorized official phone:** (904) 399-2500

## Contact information

- **Practice address:** 3728 PHILLIPS HWY, STE34, JACKSONVILLE, FL 32207-9300
- **Practice address phone:** (904) 399-2500
- **Practice address fax:** (904) 399-2495
- **Mailing address:** 3728 PHILLIPS HWY, STE34, JACKSONVILLE, FL 32207-9300
- **Mailing address phone:** (904) 399-2500
- **Mailing address fax:** (904) 399-2495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 1000032322 | FL | Yes |
| 261QR0200X | Radiology Clinic/Center | 1000032322 | FL | — |

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 02/27/2013