Organization
JACKSON DIAGNOSTIC IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARELYN BERTINA JACKSON (PRESIDENT/CEO)
(863) 299-2424
Entity
Organization
Contact information
Practice address
65 3RD ST NW, SUITE 200, WINTER HAVEN, FL 33881-4670
(863) 299-2424
(863) 299-4848
Mailing address
65 3RD ST NW, SUITE 200, WINTER HAVEN, FL 33881-4670
(863) 299-2424
(863) 299-4848
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
11/05/2010
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