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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: August 09, 2026.

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

About Innovative Imaging Jacksonville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE IMAGING JACKSONVILLE (NPI 1083802805) is a healthcare organization registered as a radiology in Jacksonville, Florida and active in the NPI registry since October 2007. The organization lists Paul Stanley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083802805
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameSAN JOSE IMAGING CENTER LLC
Location Address10696 OLD SAINT AUGUSTINE RDJacksonville, FL 32257-1000
Mailing AddressPo Box 270543Tampa, FL 33688-0543 · (850) 478-1312 · Fax (850) 474-9060
Phone(904) 268-1080
Fax(904) 268-3060
Organization SubpartNo
Authorized OfficialPaul StanleyCeo · (813) 690-5720
Enumeration DateOctober 5, 2007
Last NPPES UpdateOctober 5, 20203 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1083802805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
10696 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32257
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Other Names 1

Doing Business AsInnovative Imaging Jacksonville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE MEDICAL IMAGING PARTNERSHIP-JAX1 LLC
Clinic/Center (Radiology)
10696 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32257
Duval County (904) 996-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Jose Imaging Center LLC's NPI number?

The NPI number for San Jose Imaging Center LLC is 1083802805. It was assigned to this organization in the NPPES registry on October 5, 2007. The provider is doing business as Innovative Imaging Jacksonville.

Where is San Jose Imaging Center LLC located?

San Jose Imaging Center LLC is located at 10696 Old Saint Augustine Rd, Jacksonville, FL 32257. The listed phone number is (904) 268-1080.

What is San Jose Imaging Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

What insurance does San Jose Imaging Center LLC accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list San Jose Imaging Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Jose Imaging Center LLC was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.