INNOVATIVE IMAGING JACKSONVILLE
NPI 1083802805
Clinic/Center - Radiology in Jacksonville, FL

Active since October 05, 2007
10696 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32257(904) 268-1080(904) 268-3060 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2020, Sep 28, 2020, Nov 14, 2019 (3 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • Radiology
  • Accepts Insurance

About INNOVATIVE IMAGING JACKSONVILLE

This page provides the complete NPI Profile along with additional information for Innovative Imaging Jacksonville, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1083802805 assigned on October 2007. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Innovative Imaging Jacksonville. The authorized official of this NPI record is Mr. Paul Stanley (Ceo)

NPI
1083802805
Provider Legal Name
SAN JOSE IMAGING CENTER LLC
Other Organization Name
INNOVATIVE IMAGING JACKSONVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10696 OLD SAINT AUGUSTINE RD JACKSONVILLE, FL 32257
Location Phone
(904) 268-1080
Location Fax
(904) 268-3060
Mailing Address
PO BOX 270543 TAMPA, FL 33688
Mailing Phone
(850) 478-1312
Mailing Fax
(850) 474-9060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2007
Last Update Date
10-05-2020
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential- ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Standard- - HMO
  • UHC Silver Standard+ (Dental + Vision) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PAUL STANLEY

Authorized Official Title
CEO
Authorized Official Phone
(813) 690-5720

Reviews for INNOVATIVE IMAGING JACKSONVILLE

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083802805, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 8 → 16 → 7 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 6 + 0 + 4 + 8 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1083802805.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Radiology)
10696 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083802805, enumerated as an "organization" on October 05, 2007.

The provider is located at 10696 OLD SAINT AUGUSTINE RD JACKSONVILLE, FL 32257 and the phone number is (904) 268-1080.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.