SOUTHSIDE MEDICAL IMAGING
NPI 1568459055
Clinic/Center - Radiology in Jacksonville, FL

Q: What is Jacksonville Beaches Medical Imaging Inc's specialty?

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

Active since September 30, 2005

6138 KENNERLY RD, SUITE 101, JACKSONVILLE, FL 32216(904) 733-7770(904) 733-7778 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southside Medical Imaging NPPES

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

SOUTHSIDE MEDICAL IMAGING (NPI 1568459055) is a healthcare organization registered as a radiology in Jacksonville, Florida and active in the NPI registry since September 2005. The organization lists Cathy Blaese, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1568459055

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameJACKSONVILLE BEACHES MEDICAL IMAGING INC

Location Address6138 KENNERLY RD, SUITE 101Jacksonville, FL 32216-4345

Mailing Address6138 Kennerly Rd, Suite 101Jacksonville, FL 32216-4345 · (904) 733-7770 · Fax (904) 733-7778

Phone(904) 733-7770

Fax(904) 733-7778

Organization SubpartNo

Authorized OfficialCathy BlaeseChief Operating Officer · (904) 241-7772

Enumeration DateSeptember 30, 2005

Last NPPES UpdateOctober 2, 2012

✔ NPI 1568459055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

License✔ Licensed in FL · HCCR1418

6138 KENNERLY RD, Jacksonville, FL 32216

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Other Names 1

Doing Business AsSouthside Medical Imaging

Other Identifiers 7

Other2052827FL · United Health Care

Other470001168FL · Rr Medicare Pin

OtherV2499FL · Bcbs Vin #

Other1840590FL · 1st Health Provider

Medicare PINE4442AFL

Other147878601FL · 1st Health W/c #

Other7842141FL · Aetna Provider #

Other Providers at the Same Location NPPES

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

OPTIMAL JACKSONVILLE LLC

Radiology (Diagnostic Radiology)

6138 KENNERLY RD, SUITE 101
JACKSONVILLE, FL 32216

Duval County (904) 733-7770

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 Jacksonville Beaches Medical Imaging Inc's NPI number?

The NPI number for Jacksonville Beaches Medical Imaging Inc is 1568459055. It was assigned to this organization in the NPPES registry on September 30, 2005. The provider is doing business as Southside Medical Imaging.

Where is Jacksonville Beaches Medical Imaging Inc located?

Jacksonville Beaches Medical Imaging Inc is located at 6138 Kennerly Rd Suite 101, Jacksonville, FL 32216. The listed phone number is (904) 733-7770.

What is Jacksonville Beaches Medical Imaging Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacksonville Beaches Medical Imaging Inc was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.