Organization
A1 IMAGING CENTER LLC
Active
Parent organization
A1 IMAGING CENTER LLC
Other names
A1 IMAGING OF ORANGE PARK
Organization subpart
Yes
Provider details
NPI number
Legal business name
A1 IMAGING CENTER LLC
Authorized official
TOM COLICCHIO (DIRECTOR OF MANAGED CARE)
(909) 887-8788
Entity
Organization
Contact information
Practice address
1566 KINGSLEY AVE, ORANGE PARK, FL 32073-4511
(904) 278-2128
(904) 278-2129
Mailing address
2 N TAMIAMI TRAIL, STE 210, SARASOTA, FL 34236-5574
(941) 925-3490
(941) 953-4452
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC7772
FL
Other
Enumeration date
01/29/2009
Last updated
06/07/2011
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