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DAYTONA MRI LLC
NPI 1316309800
Physiological Laboratory in Daytona Beach, FL

Active since March 23, 2016
125 MASON AVE, DAYTONA BEACH, FL 32117(386) 463-4444(386) 313-0304 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2017, Mar 23, 2016 (2 updates tracked since 2016).

About Daytona Mri Llc NPPES

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

DAYTONA MRI LLC (NPI 1316309800) is a healthcare organization registered as a physiological laboratory in Daytona Beach, Florida and active in the NPI registry since March 2016. The organization lists Johnathan Livingston Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1316309800
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameDAYTONA MRI LLC
Location Address125 MASON AVEDaytona Beach, FL 32117-5017
Mailing Address125 Mason AveDaytona Beach, FL 32117-5017 · (386) 463-4444 · Fax (386) 313-0304
Phone(386) 463-4444
Fax(386) 313-0304
Organization SubpartNo
Authorized OfficialJohnathan Livingston WagnerOwner · (386) 463-4444
Enumeration DateMarch 23, 2016
Last NPPES UpdateMay 31, 20172 updates tracked since enumeration
✔ NPI 1316309800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X
Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X
125 MASON AVE, Daytona Beach, FL 32117
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Other Identifiers 1

Other1881628220FL · Npi Type 1

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Daytona Mri LLC's NPI number?

The NPI number for Daytona Mri LLC is 1316309800. It was assigned to this organization in the NPPES registry on March 23, 2016.

Where is Daytona Mri LLC located?

Daytona Mri LLC is located at 125 Mason Ave, Daytona Beach, FL 32117. The listed phone number is (386) 463-4444.

What is Daytona Mri LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

What insurance does Daytona Mri LLC accept?

Health plans from Molina Healthcare list Daytona Mri 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 Daytona Mri LLC was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.