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Active NPI 1700130010 Organization (Entity Type 2)

Precision Imaging St. Augustine, Llc

Clinic/Center - Radiology • St Augustine, FL

About Precision Imaging St. Augustine, Llc NPI 1700130010 Summary

Precision Imaging St. Augustine, Llc is a verified healthcare organization specializing in Clinic/Center - Radiology operating in St Augustine, FL. Located at 1000 PLANTATION ISLAND DR S, SUITE 1, this facility provides patient care and medical services under National Provider Identifier (NPI) 1700130010.

Administrative operations and authorized compliance are overseen by Josh Hammond (Ceo).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1000 Plantation Island Dr S
Suite 1

St Augustine, FL 320803100

Telephone 9049968100
Fax 9049968101

Authorized Official Information

Authorized Contact Name

Josh Hammond

Title / Role

Ceo

Official Telephone

9049968100

Facility Classifications & Specialties

Clinic/Center - Radiology Primary Taxonomy

NUCC Taxonomy Code: 261QR0200X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Maxwell Meigh NPI 1114624590

Physical Therapist

St Augustine, FL

View Practitioner Profile →
Sydney Kues NPI 1750126280

Physical Therapist

St Augustine, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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Updated Business Mailing Address December 01, 2022

Registered at PO BOX 96418, CHARLOTTE, NC 282960418 (Tel: 9049968100)

NPI Profile Active April 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2013

Registered at 1000 PLANTATION ISLAND DR S, SUITE 1, ST AUGUSTINE, FL 320803100 (Tel: 9049968100)

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Updated Business Mailing Address April 02, 2013

Registered at 1000 PLANTATION ISLAND DR S, SUITE 1, ST AUGUSTINE, FL 320803100 (Tel: 9049968100)

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Organization / Clinic Name Updated April 02, 2013

Operating as PRECISION IMAGING ST. AUGUSTINE, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2013

Clinic/Center

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Initial NPI Registration & Enumeration November 08, 2012

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1700130010
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 08, 2012
Last Update: December 01, 2022

Mailing Address

Po Box 96418

Charlotte, NC 282960418

Phone: 9049968100

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.