1740283639 NATIONAL PET SCAN DUVAL, LLC

Radiology Clinic/Center

Reactivated

Basic Information

Organization Name
NATIONAL PET SCAN DUVAL, LLC
Enumeration Date
May 24, 2005
Last Update
February 27, 2012
Deactivation Date
July 26, 2011
Reactivation Date
February 27, 2012
Authorized Official
MS. DIANA LYNN WILSON
PROJECT MANAGER
Phone: (904) 358-8441

Practice Location

Address
425 N LEE ST
JACKSONVILLE, FL 322041127
Phone
(904) 861-6000
Fax
(904) 861-6007

Mailing Address

Address
1 INDEPENDENT DR
STE 2201
JACKSONVILLE, FL 322025015
Phone
(904) 358-8441
Fax
(904) 358-2288

Specialties & Taxonomies

Specialty Code Classification License State Primary
Radiology Clinic/Center
Radiology
261QR0200X Clinic/Center HCC5690 FL Primary

Other Identifiers

Identifier Type State Issuer
7051350 01 FL AETNA NON HMO
V2569 01 FL BLUE CROSS BLUE SHIELD FL
3190985 01 FL AETNA HMO
1730079-001 01 FL CIGNA
593688943 01 FL HUMANA
201709 01 FL WELLCARE
593688943 01 FL TRICARE

Frequently Asked Questions

What is NATIONAL PET SCAN DUVAL, LLC's NPI number?
NATIONAL PET SCAN DUVAL, LLC's NPI number is 1740283639.
Which doctor has NPI number 1740283639?
The doctor with NPI number 1740283639 is NATIONAL PET SCAN DUVAL, LLC.
What is NATIONAL PET SCAN DUVAL, LLC's practice address?
NATIONAL PET SCAN DUVAL, LLC's practice address is 425 N LEE ST, JACKSONVILLE, FL, 322041127.
Which doctor practices at 425 N LEE ST, JACKSONVILLE, FL, 322041127?
NATIONAL PET SCAN DUVAL, LLC practices at 425 N LEE ST, JACKSONVILLE, FL, 322041127.
What is NATIONAL PET SCAN DUVAL, LLC's mailing address?
NATIONAL PET SCAN DUVAL, LLC's mailing address is 1 INDEPENDENT DR, STE 2201, JACKSONVILLE, FL, 322025015.
What is NATIONAL PET SCAN DUVAL, LLC's phone number?
NATIONAL PET SCAN DUVAL, LLC's phone number is (904) 861-6000.
Who is (904) 861-6000?
(904) 861-6000 is the phone number for NATIONAL PET SCAN DUVAL, LLC.
What is NATIONAL PET SCAN DUVAL, LLC's specialty?
NATIONAL PET SCAN DUVAL, LLC's specialty is Radiology Clinic/Center.
What type of doctor is NATIONAL PET SCAN DUVAL, LLC?
NATIONAL PET SCAN DUVAL, LLC is a Radiology Clinic/Center.
Is NATIONAL PET SCAN DUVAL, LLC a Radiology?
Yes, NATIONAL PET SCAN DUVAL, LLC is a Radiology.
Is NATIONAL PET SCAN DUVAL, LLC still practicing?
Yes, NATIONAL PET SCAN DUVAL, LLC has reactivated their practice and is currently practicing.
Is NATIONAL PET SCAN DUVAL, LLC accepting new patients?
NATIONAL PET SCAN DUVAL, LLC may be accepting new patients. Please call their office at (904) 861-6000 to inquire about availability.
Is NPI 1740283639 still active?
Yes, NPI 1740283639 has been reactivated and is currently active.
Where does NATIONAL PET SCAN DUVAL, LLC practice?
NATIONAL PET SCAN DUVAL, LLC practices in JACKSONVILLE, FL.