Organization
CMS IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SLOAN (CEO)
(904) 264-8154
Entity
Organization
Contact information
Practice address
653 KINGSLEY AVE, ORANGE PARK, FL 32073-5467
(904) 264-8154
(904) 264-1509
Mailing address
653 KINGSLEY AVE, ORANGE PARK, FL 32073-5467
(904) 264-8154
(904) 264-1509
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
049264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211345700
—
FL
Enumeration date
12/06/2007
Last updated
02/15/2012
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