Jacksonville Beaches Medical Imaging Inc
NPI 1568459055 · Radiology Clinic/Center · Jacksonville, FL
Jacksonville Beaches Medical Imaging Inc is a Radiology Clinic/Center organization in Jacksonville, FL (NPI 1568459055).
Provider details
- NPI number
- 1568459055
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cathy Blaese, Chief Operating Officer(904) 241-7772
- License
- HCCR1418 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southside Medical Imaging
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2012-10-02
Frequently asked questions
- What is Jacksonville Beaches Medical Imaging Inc's NPI number?
- Jacksonville Beaches Medical Imaging Inc's National Provider Identifier (NPI) is 1568459055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Beaches Medical Imaging Inc?
- Jacksonville Beaches Medical Imaging Inc is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacksonville Beaches Medical Imaging Inc located?
- Jacksonville Beaches Medical Imaging Inc's practice location on file with NPPES is 6138 Kennerly Rd, Jacksonville, FL 32216-4345.
- What is Jacksonville Beaches Medical Imaging Inc's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Beaches Medical Imaging Inc is (904) 733-7770.
- Who is the authorized official for Jacksonville Beaches Medical Imaging Inc?
- The authorized official listed on Jacksonville Beaches Medical Imaging Inc's NPPES record is Cathy Blaese, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Beaches Medical Imaging Inc's NPI active?
- Yes — Jacksonville Beaches Medical Imaging Inc's NPI (1568459055) is active in the NPPES registry as of the last update on 2012-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.