Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Beaches Medical Imaging Inc

Organization Radiology Clinic/Center · NPI 1568459055

Jacksonville Beaches Medical Imaging Inc is a Radiology Clinic/Center in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6138 Kennerly Rd Ste 101
Jacksonville, FL 32216-4345
Phone: (904) 733-7770
Fax: (904) 733-7778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence HCCR1418 (FL)

Record details

NPI number1568459055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Blaese — Chief Operating Officer · (904) 241-7772
Other names Southside Medical Imaging
NPI enumeratedSeptember 30, 2005
Last updated in NPPESOctober 2, 2012
Mailing address6138 Kennerly Rd, Suite 101, Jacksonville, FL 32216-4345

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